Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,612.00 / $7,500.00	Facility		$625.00	$3,612.00	$7,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $859.82 / $859.82 / $859.82	Facility	50	$859.82	$859.82	$859.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $69.53 / $86.79	Professional		$51.90	$69.53	$86.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $88.45 / $120.95	Professional		$80.39	$88.45	$120.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $132.68 / $151.79 / $181.42	Professional	50	$132.68	$151.79	$181.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.37 / $1,217.40 / $1,899.24	Facility		$776.37	$1,217.40	$1,899.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $76.30 / $104.77	Professional		$54.95	$76.30	$104.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $73.01	Facility		$73.01	$73.01	$73.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $88.58 / $120.73	Professional		$60.55	$88.58	$120.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $90.96 / $940.92	Facility		$60.26	$90.96	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $88.80 / $613.73	Professional		$67.33	$88.80	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $96.35 / $96.35 / $96.35	Professional	50	$96.35	$96.35	$96.35
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $81.20 / $115.76	Professional		$64.95	$81.20	$115.76