Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.72 / $700.82 / $1,831.00	Facility		$113.72	$700.82	$1,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,958.88 / $3,958.88 / $4,328.51	Facility	50	$3,958.88	$3,958.88	$4,328.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $106.60 / $273.95	Professional		$85.83	$106.60	$273.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.01 / $190.73 / $504.00	Professional	50	$31.01	$190.73	$504.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $163.86 / $163.86	Professional		$163.86	$163.86	$163.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $245.79 / $245.79 / $245.79	Professional	50	$245.79	$245.79	$245.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $61.46 / $61.46	Facility		$61.46	$61.46	$61.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $307.00 / $307.00	Professional		$307.00	$307.00	$307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $66.95 / $546.74	Facility		$60.57	$66.95	$546.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $151.56 / $300.00	Professional		$86.27	$151.56	$300.00
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 / $491.00 / $1,581.00	Facility		$225.00	$491.00	$1,581.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $118.70 / $271.02	Professional		$92.90	$118.70	$271.02