Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,258.93 / $2,398.83	Facility		$257.04	$1,258.93	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $602.56	Professional		$158.49	$281.84	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $1,819.70 / $1,905.46	Professional	50	$346.74	$1,819.70	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $251.19	Professional		$204.17	$208.93	$251.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $371.54 / $562.34	Professional	50	$263.03	$371.54	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $4,265.80	Facility		$2,691.53	$3,162.28	$4,265.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $4,786.30 / $6,456.54	Facility	50	$3,981.07	$4,786.30	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $363.08	Professional		$165.96	$245.47	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $426.58	Professional		$154.88	$251.19	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $3,090.30	Facility		$645.65	$1,737.80	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $371.54	Professional		$131.83	$213.80	$371.54