Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,388.44 / $6,025.60	Facility		$575.44	$3,388.44	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $5,888.44 / $7,762.47	Facility	50	$2,754.23	$5,888.44	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $446.68 / $933.25	Professional		$141.25	$446.68	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $562.34	Professional		$125.89	$190.55	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,187.76	Facility		$1,412.54	$1,905.46	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $870.96	Professional		$239.88	$239.88	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $457.09 / $1,000.00	Professional		$165.96	$457.09	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $645.65 / $3,019.95	Facility		$131.83	$645.65	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $3,630.78	Professional		$588.84	$851.14	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $3,311.31	Facility		$1,023.29	$1,288.25	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $501.19 / $933.25	Professional		$165.96	$501.19	$933.25