Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,511.89	Facility		$660.69	$1,174.90	$2,511.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	50	$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,513.56	Professional		$467.74	$588.84	$1,513.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,380.38 / $4,265.80	Professional	50	$691.83	$1,380.38	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $776.25	Professional		$263.03	$389.05	$776.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $794.33 / $1,258.93	Professional	50	$354.81	$794.33	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,398.83	Facility		$1,737.80	$1,737.80	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $831.76	Professional		$549.54	$630.96	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $912.01	Professional		$363.08	$645.65	$912.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Professional		$446.68	$446.68	$891.25
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,445.44	Professional	50	$1,348.96	$1,348.96	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $4,365.16	Facility		$588.84	$1,445.44	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $977.24	Professional		$501.19	$630.96	$977.24