Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $503.38 / $1,500.00	Facility		$80.70	$503.38	$1,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.44 / $489.44 / $489.44	Facility	50	$489.44	$489.44	$489.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $51.67 / $86.66	Professional		$33.45	$51.67	$86.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $48.50 / $58.21	Professional		$41.36	$48.50	$58.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.75 / $72.75 / $72.75	Professional	50	$72.75	$72.75	$72.75
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 $36.20 / $47.91 / $66.31	Professional		$36.20	$47.91	$66.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $57.50 / $129.16	Professional		$38.15	$57.50	$129.16
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 $40.33 / $51.08 / $88.39	Professional		$40.33	$51.08	$88.39