Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $500.00 / $2,167.88	Facility		$31.38	$500.00	$2,167.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $42.29 / $109.35 / $225.67	Facility	50	$42.29	$109.35	$225.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.69 / $22.02 / $47.74	Facility	52	$15.69	$22.02	$47.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $47.03 / $97.85	Professional		$29.28	$47.03	$97.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.29 / $143.00 / $217.80	Professional	50	$110.29	$143.00	$217.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.69 / $34.02 / $47.74	Professional	52	$15.69	$34.02	$47.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $50.47 / $67.87	Professional		$36.04	$50.47	$67.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $54.08 / $54.08 / $54.08	Professional	50	$54.08	$54.08	$54.08
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 $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $91.07 / $91.07	Facility		$91.07	$91.07	$91.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $51.00 / $95.49	Professional		$34.61	$51.00	$95.49
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 $42.96 / $61.30 / $112.47	Professional		$42.96	$61.30	$112.47