Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $1,170.00 / $5,431.00	Facility		$112.48	$1,170.00	$5,431.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $624.82 / $634.99 / $701.09	Facility	50	$624.82	$634.99	$701.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $62.17 / $329.00	Professional		$36.90	$62.17	$329.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $183.84 / $391.50	Professional	50	$73.20	$183.84	$391.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $49.87 / $77.56	Professional		$37.11	$49.87	$77.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $66.48 / $71.16 / $83.12	Professional	50	$66.48	$71.16	$83.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $522.47 / $859.95	Facility		$139.66	$522.47	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $60.29 / $77.52	Professional		$45.96	$60.29	$77.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $59.30 / $96.96	Professional		$38.00	$59.30	$96.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $60.95 / $1,117.00	Facility		$38.40	$60.95	$1,117.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $67.08 / $613.73	Professional		$49.70	$67.08	$613.73
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $56.78 / $109.20	Professional		$48.72	$56.78	$109.20