Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,258.93 / $3,090.30	Facility		$91.20	$1,258.93	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $4,677.35 / $6,918.31	Facility	50	$3,090.30	$4,677.35	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $177.83 / $588.84	Professional		$57.54	$177.83	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $218.78 / $1,047.13	Professional	50	$83.18	$218.78	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $204.17 / $229.09	Professional		$47.86	$204.17	$229.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $302.00 / $338.84	Professional	50	$67.61	$302.00	$338.84
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 / $154.88 / $309.03	Professional		$58.88	$154.88	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $380.19	Professional		$56.23	$154.88	$380.19
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 $50.12 / $134.90 / $309.03	Professional		$50.12	$134.90	$309.03