Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.87 / $1,000.00 / $2,812.00	Facility		$149.87	$1,000.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $889.20 / $889.20 / $889.20	Facility	50	$889.20	$889.20	$889.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $178.61 / $251.51	Professional		$77.04	$178.61	$251.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $119.77 / $303.19	Professional		$119.77	$119.77	$303.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $137.10 / $326.14	Professional		$93.23	$137.10	$326.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $188.97 / $436.76	Professional		$113.32	$188.97	$436.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $137.74 / $137.74	Professional		$137.74	$137.74	$137.74
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $270.83 / $452.27	Professional		$189.96	$270.83	$452.27