Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,096.48 / $1,737.80	Facility		$138.04	$1,096.48	$1,737.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $407.38 / $794.33 / $794.33	Facility	50	$407.38	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $186.21	Professional		$48.98	$91.20	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $281.84 / $489.78	Professional	50	$158.49	$281.84	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $117.49 / $125.89	Professional	50	$117.49	$117.49	$125.89
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 $58.88 / $87.10 / $125.89	Professional		$58.88	$87.10	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $181.97	Professional		$54.95	$89.13	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $1,548.82	Facility		$251.19	$588.84	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $158.49	Professional		$43.65	$75.86	$158.49