Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $1,320.00 / $5,370.00	Facility		$253.45	$1,320.00	$5,370.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $626.90 / $5,149.00 / $5,149.00	Facility	50	$626.90	$5,149.00	$5,149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $94.42 / $402.00	Professional		$55.79	$94.42	$402.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.15 / $242.29 / $673.50	Professional	50	$126.15	$242.29	$673.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $98.96 / $164.94	Professional		$75.40	$98.96	$164.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.38 / $183.79 / $256.00	Professional	50	$141.38	$183.79	$256.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $95.54 / $133.47	Professional		$69.48	$95.54	$133.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $99.71 / $169.73	Professional		$61.01	$99.71	$169.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $99.72 / $1,216.00	Facility		$57.69	$99.72	$1,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $112.66 / $439.40	Professional		$83.84	$112.66	$439.40
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $259.18 / $259.18 / $259.18	Professional	50	$259.18	$259.18	$259.18
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $96.94 / $191.19	Professional		$81.22	$96.94	$191.19