Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.38 / $549.00 / $1,831.00	Facility		$122.38	$549.00	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,660.38 / $1,660.38 / $1,660.38	Facility	50	$1,660.38	$1,660.38	$1,660.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $123.51 / $320.93	Professional		$97.82	$123.51	$320.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.12 / $480.81 / $586.29	Professional	50	$263.12	$480.81	$586.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $113.56 / $113.56	Professional		$113.56	$113.56	$113.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.79 / $144.79 / $170.34	Professional	50	$144.79	$144.79	$170.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.85 / $119.85 / $131.83	Facility		$119.85	$119.85	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $322.00 / $322.00	Professional		$322.00	$322.00	$322.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $71.61 / $79.17	Facility		$63.97	$71.61	$79.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $177.40 / $257.79	Professional		$117.00	$177.40	$257.79
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 $109.24 / $165.43 / $328.71	Professional		$109.24	$165.43	$328.71