Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.25 / $781.00 / $2,639.00	Facility		$170.25	$781.00	$2,639.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $241.84 / $1,500.00 / $4,039.29	Facility	50	$241.84	$1,500.00	$4,039.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.04 / $34.04 / $74.64	Facility	53	$34.04	$34.04	$74.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $185.39 / $373.22	Professional		$92.78	$185.39	$373.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.03 / $147.03 / $193.76	Professional	50	$147.03	$147.03	$193.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $18.55 / $34.90 / $74.64	Professional	53	$18.55	$34.90	$74.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $211.73 / $222.32	Professional		$100.13	$211.73	$222.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $150.19 / $317.58 / $333.47	Professional	50	$150.19	$317.58	$333.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.59 / $1,382.00 / $1,859.23	Facility		$1,141.59	$1,382.00	$1,859.23
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,712.40 / $2,072.98 / $2,788.84	Facility	50	$1,712.40	$2,072.98	$2,788.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $251.85 / $379.50	Professional		$127.02	$251.85	$379.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $223.75 / $439.99	Professional		$117.74	$223.75	$439.99
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,234.00 / $2,481.00	Facility		$375.00	$1,234.00	$2,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $230.74 / $463.32	Professional		$182.16	$230.74	$463.32