Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,300.00 / $5,506.00	Facility		$936.00	$2,300.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,390.68 / $5,390.68 / $5,390.68	Facility	50	$5,390.68	$5,390.68	$5,390.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $75.70 / $276.54	Professional		$47.53	$75.70	$276.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $343.11 / $994.50	Professional	50	$109.71	$343.11	$994.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $76.91 / $176.11	Professional		$72.63	$76.91	$176.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $108.95 / $108.95 / $128.18	Professional	50	$108.95	$108.95	$128.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,640.88 / $2,700.74	Facility		$438.60	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $83.53 / $121.01	Professional		$61.30	$83.53	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $85.93 / $148.32	Professional		$53.21	$85.93	$148.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $89.30 / $1,487.00	Facility		$51.24	$89.30	$1,487.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,893.80 / $2,893.80 / $2,893.80	Facility	50	$2,893.80	$2,893.80	$2,893.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $97.61 / $386.24	Professional		$73.63	$97.61	$386.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $86.41 / $168.01	Professional		$70.37	$86.41	$168.01