Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $5,281.15 / $15,435.28	Facility		$326.27	$5,281.15	$15,435.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,851.80 / $5,703.60 / $17,708.90	Facility	50	$2,851.80	$5,703.60	$17,708.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.72 / $275.73 / $942.40	Professional	50	$209.72	$275.73	$942.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.81 / $158.81 / $178.25	Professional	50	$158.81	$158.81	$178.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,695.58 / $8,343.75 / $17,947.93	Facility		$3,695.58	$8,343.75	$17,947.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.52 / $323.33 / $487.98	Facility		$151.52	$323.33	$487.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $316.35 / $485.01 / $773.33	Facility	50	$316.35	$485.01	$773.33
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,266.83 / $1,266.83 / $1,266.83	Professional	50	$1,266.83	$1,266.83	$1,266.83
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00