Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.90 / $1,841.00 / $7,655.00	Facility		$146.90	$1,841.00	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.88 / $1,920.00 / $4,390.68	Facility	50	$1,106.88	$1,920.00	$4,390.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $147.99 / $259.10	Professional		$75.48	$147.99	$259.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.57 / $354.03 / $402.86	Professional	50	$167.57	$354.03	$402.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $108.28 / $108.28 / $131.08	Professional	50	$108.28	$108.28	$131.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.00 / $675.69 / $1,494.15	Facility		$359.00	$675.69	$1,494.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $160.80 / $407.19	Professional		$136.68	$160.80	$407.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $181.03 / $518.26	Professional		$88.90	$181.03	$518.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.54 / $211.43 / $752.00	Facility		$86.54	$211.43	$752.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $249.58 / $2,255.51	Professional		$171.36	$249.58	$2,255.51
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $206.71 / $282.14	Professional		$165.21	$206.71	$282.14