Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.73 / $1,367.00 / $4,474.00	Facility		$346.73	$1,367.00	$4,474.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $488.39 / $929.63 / $4,445.00	Facility	50	$488.39	$929.63	$4,445.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.95 / $25.95 / $37.36	Facility	52	$25.95	$25.95	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $73.76 / $272.00	Professional		$43.33	$73.76	$272.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.30 / $155.34 / $447.85	Professional	50	$81.30	$155.34	$447.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $61.94 / $125.23	Professional		$43.02	$61.94	$125.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.97 / $118.00 / $191.00	Professional	50	$78.97	$118.00	$191.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,620.76 / $2,700.74	Facility		$412.80	$1,620.76	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $68.66 / $92.28	Professional		$53.34	$68.66	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $69.64 / $114.08	Professional		$45.39	$69.64	$114.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $68.13 / $1,126.00	Facility		$44.96	$68.13	$1,126.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $82.78 / $482.48	Professional		$58.14	$82.78	$482.48
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $115.62 / $163.65 / $341.25	Professional	50	$115.62	$163.65	$341.25
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $9,695.00	Facility		$716.00	$1,535.00	$9,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $67.90 / $125.84	Professional		$56.64	$67.90	$125.84
United Facility/Professional Professional Modifier 50 Low / Median / High Price $63.00 / $80.00 / $85.00	Professional	50	$63.00	$80.00	$85.00