Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $501.19 / $1,584.89	Facility		$72.44	$501.19	$1,584.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $691.83 / $831.76	Facility	50	$478.63	$691.83	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $165.96	Professional		$45.71	$81.28	$165.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $125.89 / $251.19	Professional	50	$75.86	$125.89	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $81.28	Professional		$42.66	$58.88	$81.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $87.10 / $128.82	Professional	50	$70.79	$87.10	$128.82
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 $42.66 / $61.66 / $83.18	Professional		$42.66	$61.66	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	52	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $144.54	Professional		$44.67	$69.18	$144.54
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 $38.02 / $54.95 / $107.15	Professional		$38.02	$54.95	$107.15