Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $1,972.50 / $6,422.00	Facility		$66.54	$1,972.50	$6,422.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $47.39 / $55.56	Professional		$35.71	$47.39	$55.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.84 / $98.84 / $98.84	Professional	50	$98.84	$98.84	$98.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $57.60 / $76.42	Professional		$23.05	$57.60	$76.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.16 / $108.00 / $114.62	Professional	50	$69.16	$108.00	$114.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.37 / $1,217.40 / $1,899.24	Facility		$776.37	$1,217.40	$1,899.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $49.35 / $67.76	Professional		$35.75	$49.35	$67.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $45.88 / $45.88	Facility		$45.88	$45.88	$45.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $59.16 / $82.26	Professional		$38.24	$59.16	$82.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $63.04 / $940.92	Facility		$39.75	$63.04	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $59.77 / $400.96	Professional		$44.17	$59.77	$400.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $52.57 / $76.97	Professional		$41.58	$52.57	$76.97