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 $57.54 / $91.20 / $199.53	Professional		$57.54	$91.20	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $158.49 / $204.17	Professional	50	$114.82	$158.49	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $91.20	Professional		$61.66	$61.66	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	50	$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $190.55	Professional		$74.13	$117.49	$190.55
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