Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $874.62 / $1,728.00	Facility		$128.96	$874.62	$1,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $798.24 / $798.24 / $798.24	Facility	50	$798.24	$798.24	$798.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $86.90 / $156.88	Professional		$54.21	$86.90	$156.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $86.90 / $104.35	Professional		$82.56	$86.90	$104.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.92 / $156.53 / $172.71	Professional	50	$97.92	$156.53	$172.71
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 $63.76 / $81.73 / $120.27	Professional		$63.76	$81.73	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $103.04 / $212.29	Professional		$62.90	$103.04	$212.29
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 $72.54 / $91.88 / $156.69	Professional		$72.54	$91.88	$156.69