Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $5,500.00 / $12,504.36	Facility		$1,575.00	$5,500.00	$12,504.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,427.25 / $2,427.25 / $2,427.25	Facility	50	$2,427.25	$2,427.25	$2,427.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,544.00 / $1,544.00 / $1,544.00	Facility	54	$1,544.00	$1,544.00	$1,544.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.85 / $1,409.17 / $2,161.59	Professional		$1,147.85	$1,409.17	$2,161.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,081.18 / $1,194.99 / $1,707.14	Professional		$1,081.18	$1,194.99	$1,707.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,633.62 / $15,239.72 / $23,250.00	Facility		$12,633.62	$15,239.72	$23,250.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,855.30 / $2,409.48 / $3,422.00	Professional		$1,855.30	$2,409.48	$3,422.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,219.00 / $11,284.00 / $11,735.00	Facility		$11,219.00	$11,284.00	$11,735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.27 / $2,028.18 / $4,619.53	Professional		$1,084.27	$2,028.18	$4,619.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $6,323.00 / $12,678.00	Facility		$1,500.00	$6,323.00	$12,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.69 / $1,312.53 / $2,370.17	Professional		$1,031.69	$1,312.53	$2,370.17