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 $114.82 / $186.21 / $389.05	Professional		$114.82	$186.21	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $457.09 / $501.19	Professional	50	$245.47	$457.09	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $169.82	Professional		$57.54	$114.82	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $691.83	Facility		$436.52	$512.86	$691.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $776.25 / $1,047.13	Facility	50	$645.65	$776.25	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $154.88	Professional		$83.18	$125.89	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $457.09	Professional		$100.00	$141.25	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $1,548.82	Facility		$251.19	$562.34	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $173.78	Professional		$95.50	$131.83	$173.78