Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.09 / $927.00 / $2,250.00	Facility		$129.09	$927.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $66.18 / $129.09	Professional		$40.67	$66.18	$129.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $85.71	Professional		$75.70	$75.70	$85.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.10 / $131.10 / $131.10	Professional	50	$131.10	$131.10	$131.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.34 / $795.76 / $1,070.55	Facility		$657.34	$795.76	$1,070.55
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $986.00 / $1,193.64 / $1,605.82	Facility	50	$986.00	$1,193.64	$1,605.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $61.86 / $98.75	Professional		$48.25	$61.86	$98.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $81.25 / $160.04	Professional		$47.24	$81.25	$160.04
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 $58.73 / $76.20 / $125.30	Professional		$58.73	$76.20	$125.30