Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.02 / $615.00 / $1,768.00	Facility		$162.02	$615.00	$1,768.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $584.35 / $1,030.00 / $3,705.77	Facility	50	$584.35	$1,030.00	$3,705.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $162.02 / $288.26	Professional		$93.22	$162.02	$288.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.26 / $204.26 / $204.26	Professional	50	$204.26	$204.26	$204.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $252.01 / $252.01 / $252.01	Professional	50	$252.01	$252.01	$252.01
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 $145.27 / $234.82 / $308.56	Professional		$145.27	$234.82	$308.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $214.50 / $374.08	Professional		$112.09	$214.50	$374.08
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $182.77 / $413.70	Professional		$146.71	$182.77	$413.70