Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.07 / $927.00 / $2,250.00	Facility		$130.07	$927.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $69.53 / $130.07	Professional		$49.28	$69.53	$130.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $76.20 / $83.84	Professional		$72.73	$76.20	$83.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.75 / $125.75 / $131.33	Professional	50	$125.75	$125.75	$131.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.02 / $388.63 / $522.84	Facility		$321.02	$388.63	$522.84
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $481.55 / $582.95 / $784.26	Facility	50	$481.55	$582.95	$784.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $73.77 / $99.09	Professional		$54.10	$73.77	$99.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $86.65 / $196.27	Professional		$58.27	$86.65	$196.27
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $847.00 / $1,349.00	Facility		$250.00	$847.00	$1,349.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $74.90 / $131.08	Professional		$60.90	$74.90	$131.08