Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $2,041.74	Facility		$575.44	$1,071.52	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $331.13 / $707.95	Professional		$93.33	$331.13	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $141.25 / $812.83	Professional	50	$138.04	$141.25	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $158.49	Professional		$50.12	$107.15	$158.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $229.09 / $245.47	Professional	50	$134.90	$229.09	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,570.40	Facility		$1,905.46	$1,905.46	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $758.58	Professional		$100.00	$131.83	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $977.24	Professional		$138.04	$223.87	$977.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $186.21	Professional		$123.03	$177.83	$186.21
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $288.40	Professional	50	$263.03	$263.03	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $954.99 / $3,548.13	Facility		$331.13	$954.99	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $426.58 / $851.14	Professional		$93.33	$426.58	$851.14