Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $501.19 / $2,187.76	Facility		$38.02	$501.19	$2,187.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $42.66 / $51.29 / $109.65	Facility	50	$42.66	$51.29	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $107.15	Professional		$32.36	$46.77	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $144.54 / $234.42	Professional	50	$61.66	$144.54	$234.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	52	$26.92	$26.92	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $66.07	Professional		$33.88	$43.65	$66.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $67.61 / $83.18	Professional	50	$48.98	$67.61	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $95.50	Professional		$31.62	$51.29	$95.50
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 $154.88 / $549.54 / $1,621.81	Facility		$154.88	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $93.33	Professional		$31.62	$48.98	$93.33