Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $649.30 / $1,728.00	Facility		$91.18	$649.30	$1,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $52.63 / $91.18	Professional		$35.10	$52.63	$91.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.00 / $95.00 / $95.00	Professional	50	$95.00	$95.00	$95.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $53.55 / $61.86	Professional		$46.70	$53.55	$61.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.64 / $80.33 / $84.40	Professional	50	$36.64	$80.33	$84.40
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 $37.89 / $53.15 / $69.39	Professional		$37.89	$53.15	$69.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $60.08 / $144.65	Professional		$38.10	$60.08	$144.65
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,349.00	Facility		$241.00	$850.00	$1,349.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $53.49 / $102.20	Professional		$42.23	$53.49	$102.20