Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $1,575.00 / $5,271.01	Facility		$148.86	$1,575.00	$5,271.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,410.00 / $2,000.00 / $3,565.20	Facility	50	$1,410.00	$2,000.00	$3,565.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $415.05 / $609.01	Professional		$146.59	$415.05	$609.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $137.62 / $144.50	Professional		$137.62	$137.62	$144.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,867.33 / $2,260.55 / $3,041.17	Facility		$1,867.33	$2,260.55	$3,041.17
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,800.99 / $3,390.83 / $4,561.75	Facility	50	$2,800.99	$3,390.83	$4,561.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $563.05 / $994.22	Professional		$174.69	$563.05	$994.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $518.04 / $986.95	Professional		$165.40	$518.04	$986.95
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,738.00 / $3,362.00	Facility		$625.00	$1,738.00	$3,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.48 / $644.87 / $992.74	Professional		$464.48	$644.87	$992.74