Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $2,640.00 / $5,506.00	Facility		$960.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $55.99 / $256.00	Professional		$36.88	$55.99	$256.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $80.09 / $109.95	Professional	50	$73.20	$80.09	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $52.65 / $76.79	Professional		$47.27	$52.65	$76.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.98 / $78.98 / $78.98	Professional	50	$78.98	$78.98	$78.98
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 $45.27 / $57.72 / $76.73	Professional		$45.27	$57.72	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $60.44 / $98.45	Professional		$39.50	$60.44	$98.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $60.34 / $948.00	Facility		$38.20	$60.34	$948.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $67.62 / $429.84	Professional		$49.88	$67.62	$429.84
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 $49.45 / $57.33 / $111.99	Professional		$49.45	$57.33	$111.99