Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $676.08 / $1,737.80	Facility		$288.40	$676.08	$1,737.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $1,737.80 / $3,467.37	Facility	50	$776.25	$1,737.80	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $1,047.13	Professional		$186.21	$416.87	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $831.76 / $1,995.26	Professional	50	$275.42	$831.76	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $1,000.00	Professional		$162.18	$389.05	$1,000.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $575.44 / $630.96	Professional	50	$223.87	$575.44	$630.96
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 $213.80 / $281.84 / $562.34	Professional		$213.80	$281.84	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $812.83	Professional		$190.55	$380.19	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $3,981.07	Facility		$812.83	$2,818.38	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $741.31	Professional		$181.97	$346.74	$741.31