Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.43 / $138.75 / $275.14	Facility		$44.43	$138.75	$275.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $198.75 / $198.75 / $198.75	Facility	50	$198.75	$198.75	$198.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $67.41 / $138.75	Professional		$24.43	$67.41	$138.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $76.66 / $76.66	Professional		$76.66	$76.66	$76.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.13 / $36.13 / $114.99	Professional	50	$36.13	$36.13	$114.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.32 / $304.25 / $409.31	Facility		$251.32	$304.25	$409.31
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $376.99 / $456.37 / $613.97	Facility	50	$376.99	$456.37	$613.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $83.22 / $125.40	Professional		$32.11	$83.22	$125.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $69.86 / $130.63	Professional		$15.95	$69.86	$130.63
United Facility/Professional Facility Modifier Low / Median / High Price $208.82 / $750.00 / $1,326.00	Facility		$208.82	$750.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $83.76 / $143.38	Professional		$66.92	$83.76	$143.38