Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $562.34 / $1,737.80	Facility		$138.04	$562.34	$1,737.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,513.56 / $4,365.16	Facility	50	$794.33	$1,513.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $426.58	Professional		$87.10	$186.21	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $316.23 / $812.83	Professional	50	$125.89	$316.23	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $323.59	Professional		$85.11	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $239.88 / $269.15	Professional	50	$120.23	$239.88	$269.15
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 $128.82 / $213.80 / $288.40	Professional		$128.82	$213.80	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $338.84	Professional		$93.33	$177.83	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $2,511.89	Facility		$407.38	$1,174.90	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $338.84	Professional		$74.13	$141.25	$338.84