Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.36 / $750.00 / $1,831.00	Facility		$171.36	$750.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,557.55 / $1,557.55 / $1,557.55	Facility	50	$1,557.55	$1,557.55	$1,557.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $177.69 / $449.38	Professional		$97.11	$177.69	$449.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $377.48 / $474.00 / $474.00	Professional	50	$377.48	$474.00	$474.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $317.04 / $634.07	Professional		$110.83	$317.04	$634.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $951.11 / $951.11 / $951.11	Professional	50	$951.11	$951.11	$951.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.09 / $560.09 / $616.10	Facility		$560.09	$560.09	$616.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Professional		$297.00	$297.00	$297.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $225.84 / $374.08	Professional		$128.40	$225.84	$374.08
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $264.07 / $495.87	Professional		$157.86	$264.07	$495.87