Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $2,624.00 / $10,439.00	Facility		$85.93	$2,624.00	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.50 / $2,429.40 / $2,429.40	Facility	50	$501.50	$2,429.40	$2,429.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $82.60 / $129.34	Professional		$51.44	$82.60	$129.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.31 / $167.31 / $167.31	Professional	50	$167.31	$167.31	$167.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $70.52 / $74.55	Professional		$27.38	$70.52	$74.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $88.11 / $88.11 / $105.78	Professional	50	$88.11	$88.11	$105.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $82.51 / $109.14	Professional		$70.13	$82.51	$109.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $90.55 / $149.33	Professional		$64.18	$90.55	$149.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.39 / $390.00	Facility		$57.54	$100.39	$390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $105.06 / $613.73	Professional		$79.81	$105.06	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $147.09 / $147.09 / $147.09	Professional	50	$147.09	$147.09	$147.09
United Facility/Professional Facility Modifier Low / Median / High Price $331.06 / $549.54 / $1,713.00	Facility		$331.06	$549.54	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $92.90 / $131.72	Professional		$79.59	$92.90	$131.72