Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.58 / $2,202.00 / $5,431.00	Facility		$409.58	$2,202.00	$5,431.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $683.80 / $3,174.90 / $3,960.00	Facility	50	$683.80	$3,174.90	$3,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $164.69 / $439.44	Professional		$64.23	$164.69	$439.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.15 / $569.85 / $736.39	Professional	50	$122.15	$569.85	$736.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $140.19 / $194.73	Professional		$79.45	$140.19	$194.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $119.18 / $233.67 / $233.67	Professional	50	$119.18	$233.67	$233.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $339.57 / $518.16	Facility		$79.20	$339.57	$518.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $145.65 / $218.48	Professional		$98.50	$145.65	$218.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $154.61 / $296.97	Professional		$74.34	$154.61	$296.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $166.60 / $1,126.00	Facility		$83.03	$166.60	$1,126.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,327.68 / $5,327.68 / $5,327.68	Facility	50	$5,327.68	$5,327.68	$5,327.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $204.25 / $2,255.51	Professional		$147.52	$204.25	$2,255.51
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 $142.91 / $173.28 / $327.75	Professional		$142.91	$173.28	$327.75