Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $1,495.00 / $8,101.00	Facility		$63.79	$1,495.00	$8,101.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17.85 / $472.58 / $680.32	Facility	50	$17.85	$472.58	$680.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $53.16 / $84.21	Professional		$34.25	$53.16	$84.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $121.17 / $121.17 / $139.97	Professional	50	$121.17	$121.17	$139.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $47.86 / $54.85	Professional		$18.64	$47.86	$54.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.16 / $69.17 / $99.84	Professional	50	$69.16	$69.17	$99.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $248.14 / $330.53	Facility		$106.00	$248.14	$330.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $59.62 / $78.41	Professional		$50.68	$59.62	$78.41
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 $40.50 / $59.67 / $100.04	Professional		$40.50	$59.67	$100.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $67.37 / $390.00	Facility		$37.13	$67.37	$390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $71.62 / $400.96	Professional		$52.40	$71.62	$400.96
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 $50.41 / $62.14 / $87.02	Professional		$50.41	$62.14	$87.02