Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.00 / $1,728.23 / $4,427.88	Facility		$692.00	$1,728.23	$4,427.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $879.50 / $879.50 / $879.50	Facility	50	$879.50	$879.50	$879.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,259.41 / $2,068.32	Professional		$285.25	$1,259.41	$2,068.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $215.01 / $1,557.00 / $2,546.46	Professional	50	$215.01	$1,557.00	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.72 / $528.72 / $632.79	Professional		$528.72	$528.72	$632.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $256.29 / $396.54 / $396.54	Professional	50	$256.29	$396.54	$396.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,227.30 / $5,227.30 / $6,272.76	Facility		$5,227.30	$5,227.30	$6,272.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.22 / $465.03 / $2,142.10	Professional		$316.22	$465.03	$2,142.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $616.84 / $2,684.59	Professional		$349.01	$616.84	$2,684.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $608.03 / $608.03	Professional		$363.86	$608.03	$608.03
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $912.05 / $912.05 / $912.05	Professional	50	$912.05	$912.05	$912.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,576.00 / $8,929.00	Facility		$2,104.00	$4,576.00	$8,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.69 / $1,999.17 / $3,294.70	Professional		$1,432.69	$1,999.17	$3,294.70