Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $575.44 / $6,456.54	Facility		$114.82	$575.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $169.82 / $407.38	Professional		$64.57	$169.82	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $229.09 / $741.31	Professional	50	$93.33	$229.09	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $288.40	Professional		$58.88	$70.79	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $467.74	Facility		$218.78	$295.12	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $371.54	Professional		$128.82	$128.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $389.05	Professional		$79.43	$186.21	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $251.19 / $660.69	Facility		$70.79	$251.19	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $3,235.94	Professional		$218.78	$346.74	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $1,905.46	Facility		$190.55	$524.81	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $316.23	Professional		$72.44	$190.55	$316.23