Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,513.56 / $6,456.54	Facility		$245.47	$1,513.56	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Facility	50	$3,715.35	$3,715.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $165.96 / $371.54	Professional		$63.10	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $131.83 / $131.83	Professional	50	$93.33	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $331.13	Professional		$58.88	$97.72	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $851.14	Facility		$426.58	$630.96	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $223.87 / $302.00	Professional		$67.61	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $316.23	Professional		$72.44	$120.23	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $257.04 / $1,548.82	Facility		$75.86	$257.04	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $3,235.94	Professional		$186.21	$257.04	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $630.96 / $1,659.59	Facility		$138.04	$630.96	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $281.84	Professional		$66.07	$154.88	$281.84