Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $1,500.00 / $7,655.00	Facility		$62.28	$1,500.00	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $463.00 / $463.00 / $463.00	Facility	50	$463.00	$463.00	$463.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $58.25 / $92.06	Professional		$39.45	$58.25	$92.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.02 / $129.02 / $158.80	Professional	50	$129.02	$129.02	$158.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $49.76 / $60.24	Professional		$20.34	$49.76	$60.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.64 / $74.64 / $123.76	Professional	50	$74.64	$74.64	$123.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $142.05 / $248.14	Facility		$106.00	$142.05	$248.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $63.86 / $90.15	Professional		$54.28	$63.86	$90.15
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 $44.05 / $65.48 / $114.45	Professional		$44.05	$65.48	$114.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $73.91 / $390.00	Facility		$41.04	$73.91	$390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $78.19 / $613.73	Professional		$59.12	$78.19	$613.73
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $67.84 / $99.30	Professional		$56.61	$67.84	$99.30