Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $933.25 / $1,995.26	Facility		$87.10	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $218.78	Professional		$56.23	$93.33	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $169.82 / $223.87	Professional	50	$114.82	$169.82	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $120.23	Professional		$50.12	$91.20	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $131.83 / $165.96	Professional	50	$79.43	$131.83	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $186.21	Professional		$74.13	$117.49	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,659.59	Facility		$223.87	$575.44	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $204.17	Professional		$56.23	$100.00	$204.17