Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,862.09	Facility		$562.34	$794.33	$1,862.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	50	$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $1,148.15	Professional		$229.09	$501.19	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,862.09 / $3,467.37	Professional	50	$645.65	$1,862.09	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $338.84	Professional		$169.82	$234.42	$338.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	50	$588.84	$588.84	$588.84
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 $229.09 / $257.04 / $338.84	Professional		$229.09	$257.04	$338.84
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 $208.93 / $676.08 / $954.99	Professional		$208.93	$676.08	$954.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $346.74	Professional		$194.98	$251.19	$346.74
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	50	$676.08	$676.08	$676.08
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 $416.87 / $537.03 / $933.25	Professional		$416.87	$537.03	$933.25