Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $1,862.09	Facility		$575.44	$1,445.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $346.74	Professional		$95.50	$181.97	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $158.49	Professional		$57.54	$57.54	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,951.21	Facility		$1,862.09	$2,187.76	$2,951.21
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $3,311.31 / $4,466.84	Facility	50	$2,754.23	$3,311.31	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $204.17	Professional		$89.13	$147.91	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $380.19	Professional		$85.11	$151.36	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $3,090.30	Facility		$645.65	$1,698.24	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $208.93	Professional		$81.28	$134.90	$208.93