Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $2,640.00 / $5,506.00	Facility		$1,050.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $75.03 / $328.00	Professional		$51.36	$75.03	$328.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $472.50 / $570.00	Professional	50	$109.04	$472.50	$570.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $71.08 / $110.57	Professional		$35.54	$71.08	$110.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $88.85 / $100.70 / $150.46	Professional	50	$88.85	$100.70	$150.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $525.76 / $859.95	Facility		$139.66	$525.76	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $86.02 / $111.83	Professional		$67.06	$86.02	$111.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $81.84 / $138.91	Professional		$54.66	$81.84	$138.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $83.44 / $948.00	Facility		$55.36	$83.44	$948.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $88.80 / $613.73	Professional		$65.70	$88.80	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $409.50 / $409.50 / $409.50	Professional	50	$409.50	$409.50	$409.50
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $78.42 / $151.05	Professional		$65.25	$78.42	$151.05