Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $831.76 / $2,398.83	Facility		$169.82	$831.76	$2,398.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $1,737.80 / $5,495.41	Facility	50	$831.76	$1,737.80	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $575.44	Professional		$104.71	$239.88	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $562.34 / $1,047.13	Professional	50	$169.82	$562.34	$1,047.13
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $97.72 / $186.21	Professional	53	$51.29	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $323.59	Professional		$97.72	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $199.53 / $363.08	Professional	50	$141.25	$199.53	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Facility		$1,174.90	$1,380.38	$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 $125.89 / $239.88 / $380.19	Professional		$125.89	$239.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	22	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	53	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $457.09	Professional		$112.20	$223.87	$457.09
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 $93.33 / $190.55 / $407.38	Professional		$93.33	$190.55	$407.38