Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $463.43 / $1,831.00	Facility		$13.18	$463.43	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $13.73 / $28.59	Professional		$11.32	$13.73	$28.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.48 / $20.39 / $46.00	Professional	50	$16.48	$20.39	$46.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.53 / $14.30 / $14.30	Professional	52	$6.53	$14.30	$14.30
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.61 / $5.72 / $5.72	Professional	53	$2.61	$5.72	$5.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $16.82	Professional		$15.38	$15.38	$16.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $16.48 / $16.48 / $16.48	Professional	50	$16.48	$16.48	$16.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.51 / $24.00	Professional		$11.36	$17.51	$24.00
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 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $15.28 / $28.95	Professional		$11.07	$15.28	$28.95