Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.79 / $1,342.00 / $3,109.00	Facility		$365.79	$1,342.00	$3,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,842.22 / $1,842.22 / $1,842.22	Facility	50	$1,842.22	$1,842.22	$1,842.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $541.88 / $1,596.23	Professional		$250.12	$541.88	$1,596.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $190.46 / $190.46	Professional		$190.46	$190.46	$190.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.53 / $359.60 / $1,064.34	Professional		$244.53	$359.60	$1,064.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.26 / $500.30 / $1,604.06	Professional		$316.26	$500.30	$1,604.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $219.03 / $403.80	Professional		$219.03	$219.03	$403.80
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.81 / $1,265.70 / $1,818.50	Professional		$484.81	$1,265.70	$1,818.50