Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $560.00 / $1,728.00	Facility		$131.88	$560.00	$1,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $353.34 / $824.00 / $1,499.04	Facility	50	$353.34	$824.00	$1,499.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $135.63 / $255.61	Professional		$64.23	$135.63	$255.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $75.12 / $147.30	Professional		$75.12	$75.12	$147.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.68 / $112.68 / $203.98	Professional	50	$112.68	$112.68	$203.98
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 $60.25 / $123.49 / $186.09	Professional		$60.25	$123.49	$186.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $158.63 / $333.66	Professional		$86.61	$158.63	$333.66
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 $124.78 / $158.05 / $323.16	Professional		$124.78	$158.05	$323.16