Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $7,943.28 / $15,488.17	Facility		$676.08	$7,943.28	$15,488.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $12,302.69 / $17,782.79	Facility	50	$5,248.07	$12,302.69	$17,782.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $288.40 / $933.25	Professional	50	$199.53	$288.40	$933.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $154.88 / $169.82	Professional	50	$147.91	$154.88	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,511.38 / $17,782.79	Facility		$3,981.07	$8,511.38	$17,782.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $489.78	Facility		$131.83	$263.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13