Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,445.44 / $6,456.54	Facility		$63.10	$1,445.44	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	50	$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $117.49	Professional		$35.48	$57.54	$117.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $131.83 / $223.87	Professional	50	$64.57	$131.83	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $66.07	Professional		$25.12	$46.77	$66.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $57.54 / $85.11 / $138.04	Professional	50	$57.54	$85.11	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $457.09	Facility		$218.78	$371.54	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $83.18	Professional		$67.61	$67.61	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $97.72	Professional		$40.74	$63.10	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $1,258.93	Facility		$43.65	$75.86	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $407.38	Professional		$52.48	$77.62	$407.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	50	$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $1,778.28	Facility		$218.78	$416.87	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $83.18	Professional		$40.74	$57.54	$83.18