Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $250.17 / $4,230.00	Facility		$47.86	$250.17	$4,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $18.14 / $51.85	Professional		$12.23	$18.14	$51.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.25 / $33.24 / $90.42	Professional	50	$20.25	$33.24	$90.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.04 / $8.11 / $16.60	Professional	52	$7.04	$8.11	$16.60
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.81 / $3.24 / $4.61	Professional	53	$2.81	$3.24	$4.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $24.79 / $24.79	Professional		$13.85	$24.79	$24.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $17.18 / $24.72 / $30.02	Professional	50	$17.18	$24.72	$30.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $72.06 / $151.72	Facility		$35.89	$72.06	$151.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $13.85 / $21.39	Professional		$11.00	$13.85	$21.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $17.23 / $37.84	Professional		$15.06	$17.23	$37.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $16.70 / $30.51	Facility		$14.11	$16.70	$30.51
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $19.14 / $37.54	Professional		$12.10	$19.14	$37.54