Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $2,444.00 / $6,435.00	Facility		$219.86	$2,444.00	$6,435.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,429.40 / $3,036.00 / $4,314.00	Facility	50	$1,429.40	$3,036.00	$4,314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $132.38 / $199.82	Professional		$69.37	$132.38	$199.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.62 / $244.62 / $244.62	Professional		$244.62	$244.62	$244.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.37 / $1,217.40 / $1,899.24	Facility		$776.37	$1,217.40	$1,899.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $156.10 / $214.35	Professional		$83.25	$156.10	$214.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $179.28 / $261.17	Professional		$89.19	$179.28	$261.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $177.36 / $1,145.00	Facility		$87.08	$177.36	$1,145.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $199.64 / $2,255.51	Professional		$141.41	$199.64	$2,255.51
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 $133.10 / $174.69 / $251.75	Professional		$133.10	$174.69	$251.75