Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $870.90 / $1,831.00	Facility		$81.88	$870.90	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $950.00 / $1,742.25 / $2,323.14	Facility	50	$950.00	$1,742.25	$2,323.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $81.88 / $214.72	Professional		$47.19	$81.88	$214.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.20 / $223.50 / $260.67	Professional	50	$71.20	$223.50	$260.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $63.31 / $94.62	Professional		$60.42	$63.31	$94.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $80.92 / $90.63 / $138.59	Professional	50	$80.92	$90.63	$138.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Professional		$149.00	$149.00	$149.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $105.36 / $171.67	Professional		$63.42	$105.36	$171.67
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 $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $120.83 / $234.04	Professional		$77.61	$120.83	$234.04