Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,238.72 / $5,623.41	Facility		$112.20	$2,238.72	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Facility	50	$1,479.11	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $208.93	Professional		$36.31	$70.79	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $158.49 / $407.38	Professional	50	$77.62	$158.49	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $72.44	Professional		$37.15	$51.29	$72.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $25.70 / $83.18 / $151.36	Professional	50	$25.70	$83.18	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,318.26 / $1,995.26	Facility		$416.87	$1,318.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $100.00	Professional		$43.65	$64.57	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $93.33	Professional		$37.15	$58.88	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $1,445.44	Facility		$36.31	$61.66	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $407.38	Professional		$47.86	$72.44	$407.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	50	$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,202.26 / $2,187.76	Facility		$251.19	$1,202.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $85.11	Professional		$34.67	$50.12	$85.11