Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $1,402.17 / $5,506.00	Facility		$104.15	$1,402.17	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $341.60 / $476.61 / $635.00	Facility	50	$341.60	$476.61	$635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $54.36 / $198.00	Professional		$34.02	$54.36	$198.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $270.00 / $334.50	Professional	50	$71.09	$270.00	$334.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $46.18 / $88.18	Professional		$33.97	$46.18	$88.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.73 / $100.05 / $107.75	Professional	50	$77.73	$100.05	$107.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $54.19 / $71.81	Professional		$42.09	$54.19	$71.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $55.22 / $89.73	Professional		$35.34	$55.22	$89.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $56.44 / $1,053.00	Facility		$35.25	$56.44	$1,053.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $61.79 / $400.96	Professional		$45.87	$61.79	$400.96
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $140.37 / $140.37 / $140.37	Professional	50	$140.37	$140.37	$140.37
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 $44.55 / $52.79 / $103.72	Professional		$44.55	$52.79	$103.72