Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.63 / $1,381.58 / $3,804.00	Facility		$492.63	$1,381.58	$3,804.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,241.18 / $5,241.18 / $5,241.18	Facility	50	$5,241.18	$5,241.18	$5,241.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $1,028.97 / $1,996.30	Professional		$264.11	$1,028.97	$1,996.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $222.00 / $594.36 / $594.36	Professional	50	$222.00	$594.36	$594.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,029.72 / $3,029.72 / $3,635.66	Facility		$3,029.72	$3,029.72	$3,635.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $406.30 / $1,580.79	Professional		$276.27	$406.30	$1,580.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $557.77 / $2,195.44	Professional		$322.89	$557.77	$2,195.44
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $683.51 / $683.51 / $683.51	Professional	50	$683.51	$683.51	$683.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,314.00 / $5,626.00	Facility		$1,240.00	$2,314.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.46 / $1,840.08 / $2,522.21	Professional		$1,166.46	$1,840.08	$2,522.21