Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,047.13 / $1,995.26	Facility		$123.03	$1,047.13	$1,995.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	50	$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $323.59	Professional		$97.72	$131.83	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $478.63 / $588.84	Professional	50	$263.03	$478.63	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $263.03	Professional		$117.49	$120.23	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $199.53 / $426.58	Professional	50	$151.36	$199.53	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $131.83	Facility		$120.23	$120.23	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $323.59 / $323.59	Professional		$81.28	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $79.43	Facility		$64.57	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $263.03	Professional		$125.89	$173.78	$263.03
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 / $562.34 / $1,621.81	Facility		$223.87	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $275.42	Professional		$97.72	$138.04	$275.42