Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $935.00 / $1,831.00	Facility		$202.11	$935.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $189.37 / $537.60	Professional		$72.40	$189.37	$537.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $99.45 / $99.45	Professional		$99.45	$99.45	$99.45
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 $353.00 / $353.00 / $353.00	Professional		$353.00	$353.00	$353.00
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 $98.80 / $184.27 / $369.35	Professional		$98.80	$184.27	$369.35
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 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $254.18 / $529.57	Professional		$182.43	$254.18	$529.57