Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $686.00 / $1,728.00	Facility		$107.48	$686.00	$1,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,075.20 / $4,075.20 / $4,075.20	Facility	50	$4,075.20	$4,075.20	$4,075.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.92 / $15.92 / $33.99	Facility	53	$15.92	$15.92	$33.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $79.62 / $169.93	Professional		$45.92	$79.62	$169.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $95.67 / $100.45	Professional		$45.92	$95.67	$100.45
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 $55.00 / $78.84 / $136.05	Professional		$55.00	$78.84	$136.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $104.49 / $195.78	Professional		$61.82	$104.49	$195.78
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,323.00	Facility		$241.00	$850.00	$1,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $101.49 / $228.24	Professional		$80.12	$101.49	$228.24