Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $1,660.00 / $7,655.00	Facility		$62.76	$1,660.00	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,364.29 / $2,364.29 / $3,792.00	Facility	50	$2,364.29	$2,364.29	$3,792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $55.49 / $87.51	Professional		$37.36	$55.49	$87.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.22 / $131.22 / $131.22	Professional	50	$131.22	$131.22	$131.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $47.00 / $65.41	Professional		$31.69	$47.00	$65.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.50 / $77.43 / $104.01	Professional	50	$70.50	$77.43	$104.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $314.00 / $487.91	Facility		$227.00	$314.00	$487.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $68.00 / $84.41	Professional		$57.80	$68.00	$84.41
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 $42.04 / $64.00 / $104.55	Professional		$42.04	$64.00	$104.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $75.42 / $611.00	Facility		$38.86	$75.42	$611.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $75.23 / $411.20	Professional		$56.01	$75.23	$411.20
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $62.84 / $62.84 / $62.84	Professional	50	$62.84	$62.84	$62.84
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 $52.16 / $65.23 / $93.59	Professional		$52.16	$65.23	$93.59