Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,223.00 / $2,250.00	Facility		$615.00	$1,223.00	$2,250.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $122.97 / $122.97 / $539.60	Facility	52	$122.97	$122.97	$539.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $547.90 / $1,079.19	Professional		$152.52	$547.90	$1,079.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $161.83 / $161.83	Professional		$161.83	$161.83	$161.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,271.34 / $1,539.07 / $2,070.54	Facility		$1,271.34	$1,539.07	$2,070.54
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,907.02 / $2,308.60 / $3,105.80	Facility	50	$1,907.02	$2,308.60	$3,105.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.75 / $700.03 / $1,186.30	Professional		$200.75	$700.03	$1,186.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $513.47 / $1,149.39	Professional		$180.13	$513.47	$1,149.39
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.03 / $679.66 / $1,120.84	Professional		$475.03	$679.66	$1,120.84