Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,047.13 / $2,818.38	Facility		$229.09	$1,047.13	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $177.83 / $389.05	Professional		$61.66	$177.83	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $302.00	Professional	50	$223.87	$223.87	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $263.03	Professional		$56.23	$91.20	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $154.88 / $346.74	Professional	50	$77.62	$154.88	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $380.19	Professional		$83.18	$169.82	$380.19
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 $63.10 / $169.82 / $389.05	Professional		$63.10	$169.82	$389.05