Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $560.00 / $1,728.00	Facility		$137.26	$560.00	$1,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $795.93 / $2,323.14 / $4,405.80	Facility	50	$795.93	$2,323.14	$4,405.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $137.41 / $263.01	Professional		$79.59	$137.41	$263.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.83 / $173.34 / $304.70	Professional	50	$118.83	$173.34	$304.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $231.69 / $231.69 / $231.69	Professional	50	$231.69	$231.69	$231.69
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 $133.59 / $215.94 / $284.08	Professional		$133.59	$215.94	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $183.45 / $340.00	Professional		$96.89	$183.45	$340.00
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,234.00 / $2,488.00	Facility		$375.00	$1,234.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $163.41 / $373.74	Professional		$133.44	$163.41	$373.74