Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.37 / $1,251.00 / $2,250.00	Facility		$295.37	$1,251.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $680.12 / $1,405.95	Professional		$163.36	$680.12	$1,405.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $161.33 / $161.33	Professional		$161.33	$161.33	$161.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.16 / $1,026.77 / $1,381.33	Facility		$848.16	$1,026.77	$1,381.33
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,272.24 / $1,540.15 / $2,071.98	Facility	50	$1,272.24	$1,540.15	$2,071.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $586.35 / $921.40	Professional		$186.15	$586.35	$921.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $613.04 / $1,395.74	Professional		$202.94	$613.04	$1,395.74
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,326.00	Facility		$241.00	$850.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.09 / $859.19 / $1,376.72	Professional		$633.09	$859.19	$1,376.72