Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,380.38 / $3,235.94	Facility		$416.87	$1,380.38	$3,235.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $707.95 / $954.99 / $1,905.46	Facility	50	$707.95	$954.99	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $154.88 / $354.81	Professional		$54.95	$154.88	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $213.80 / $616.60	Professional	50	$81.28	$213.80	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $436.52	Professional		$50.12	$109.65	$436.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $100.00 / $346.74	Professional	50	$74.13	$100.00	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $338.84	Professional		$72.44	$151.36	$338.84
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 $56.23 / $154.88 / $354.81	Professional		$56.23	$154.88	$354.81