Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,548.13 / $5,495.41	Facility		$181.97	$3,548.13	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $7,585.78 / $11,748.98	Facility	50	$2,630.27	$7,585.78	$11,748.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $338.84 / $1,023.29	Professional	50	$147.91	$338.84	$1,023.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $165.96 / $794.33	Professional	50	$147.91	$165.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $489.78	Facility		$120.23	$251.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $724.44 / $1,949.84	Facility		$204.17	$724.44	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $724.44 / $724.44	Facility		$56.23	$724.44	$724.44