Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.00 / $1,592.60 / $5,500.00	Facility		$781.00	$1,592.60	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $593.12 / $908.22	Professional		$481.79	$593.12	$908.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $484.31 / $726.47	Professional		$242.16	$484.31	$726.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,983.54 / $3,611.81 / $4,859.05	Facility		$2,983.54	$3,611.81	$4,859.05
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,475.31 / $5,417.72 / $7,288.57	Facility	50	$4,475.31	$5,417.72	$7,288.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.77 / $1,210.78 / $1,428.72	Professional		$783.77	$1,210.78	$1,428.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $804.15 / $1,831.62	Professional		$458.04	$804.15	$1,831.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,384.00 / $5,251.00	Facility		$1,124.00	$3,384.00	$5,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $532.19 / $948.46	Professional		$422.25	$532.19	$948.46