Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $1,862.09	Facility		$575.44	$1,445.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $208.93	Professional		$56.23	$100.00	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $251.19 / $407.38	Professional	50	$158.49	$251.19	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $112.20	Professional		$45.71	$75.86	$112.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $125.89 / $162.18	Professional	50	$104.71	$125.89	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $537.03	Facility		$331.13	$389.05	$537.03
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $588.84 / $794.33	Facility	50	$501.19	$588.84	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $169.82	Professional		$58.88	$87.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $1,548.82	Facility		$251.19	$562.34	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $125.89	Professional		$46.77	$69.18	$125.89