Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $2,024.00 / $6,435.00	Facility		$247.91	$2,024.00	$6,435.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,127.28 / $2,127.28 / $4,682.39	Facility	50	$2,127.28	$2,127.28	$4,682.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $149.57 / $247.90	Professional		$63.88	$149.57	$247.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Professional		$98.15	$98.15	$98.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.08 / $581.61 / $842.49	Facility		$433.08	$581.61	$842.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $221.90 / $304.70	Professional		$66.84	$221.90	$304.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $84.70 / $100.03	Facility		$84.70	$84.70	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $111.33 / $297.52	Professional		$75.87	$111.33	$297.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $247.91 / $871.04	Facility		$75.43	$247.91	$871.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $258.14 / $3,229.91	Professional		$190.81	$258.14	$3,229.91
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $224.48 / $370.39	Professional		$179.58	$224.48	$370.39