Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $621.00 / $1,831.00	Facility		$101.01	$621.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $712.50 / $712.50 / $712.50	Facility	50	$712.50	$712.50	$712.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.58 / $20.20 / $52.98	Facility	53	$9.58	$20.20	$52.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $103.90 / $264.89	Professional		$47.90	$103.90	$264.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.56 / $72.56 / $625.50	Professional	50	$72.56	$72.56	$625.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $60.13 / $93.84	Professional		$53.69	$60.13	$93.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $110.66 / $232.94	Professional		$63.59	$110.66	$232.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $491.00 / $1,650.00	Facility		$216.00	$491.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $168.20 / $314.77	Professional		$85.46	$168.20	$314.77