Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,096.48 / $3,630.78	Facility		$204.17	$1,096.48	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,168.69 / $4,168.69	Facility	50	$1,949.84	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $630.96	Professional		$64.57	$199.53	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $213.80 / $912.01	Professional	50	$97.72	$213.80	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $239.88	Professional		$74.13	$218.78	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $323.59 / $363.08	Professional	50	$177.83	$323.59	$363.08
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 $67.61 / $162.18 / $323.59	Professional		$67.61	$162.18	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $398.11	Professional		$72.44	$173.78	$398.11
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 $56.23 / $147.91 / $346.74	Professional		$56.23	$147.91	$346.74