Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $2,398.83	Facility		$407.38	$1,174.90	$2,398.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $1,174.90 / $1,318.26	Facility	50	$1,174.90	$1,174.90	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $645.65	Professional		$125.89	$263.03	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $398.11 / $1,096.48	Professional	50	$186.21	$398.11	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $263.03	Professional		$123.03	$123.03	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $354.81	Professional	50	$186.21	$186.21	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,905.46	Facility		$1,174.90	$1,412.54	$1,905.46
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $2,089.30 / $2,818.38	Facility	50	$1,778.28	$2,089.30	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $407.38	Professional		$151.36	$263.03	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $489.78	Professional		$131.83	$239.88	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,174.90 / $2,511.89	Facility		$398.11	$1,174.90	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $426.58	Professional		$109.65	$208.93	$426.58