Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $851.14 / $1,737.80	Facility		$97.72	$851.14	$1,737.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	50	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $257.04	Professional		$57.54	$112.20	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $281.84 / $562.34	Professional	50	$134.90	$281.84	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $123.03	Professional		$48.98	$91.20	$123.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $125.89 / $199.53	Professional	50	$93.33	$125.89	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $812.83 / $1,096.48	Facility		$676.08	$812.83	$1,096.48
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $1,202.26 / $1,621.81	Facility	50	$1,023.29	$1,202.26	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $218.78	Professional		$63.10	$102.33	$218.78
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 $50.12 / $81.28 / $154.88	Professional		$50.12	$81.28	$154.88