Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $870.96 / $2,041.74	Facility		$275.42	$870.96	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	50	$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $758.58	Professional		$186.21	$275.42	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $758.58 / $1,737.80	Professional	50	$331.13	$758.58	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $416.87	Professional		$213.80	$288.40	$416.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	50	$512.86	$512.86	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Facility		$537.03	$537.03	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $346.74	Professional		$218.78	$257.04	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $575.44	Professional		$199.53	$389.05	$575.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $501.19	Professional		$257.04	$363.08	$501.19
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	50	$602.56	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $831.76 / $1,621.81	Facility		$331.13	$831.76	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $467.74	Professional		$194.98	$288.40	$467.74