Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $168.00 / $561.40	Facility		$82.16	$168.00	$561.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $148.05 / $234.23 / $447.39	Facility	50	$148.05	$234.23	$447.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $78.62 / $146.53	Professional		$26.49	$78.62	$146.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $76.66	Professional		$70.34	$70.34	$76.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.13 / $105.52 / $114.99	Professional	50	$36.13	$105.52	$114.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $226.38 / $374.96	Facility		$57.31	$226.38	$374.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $71.03 / $116.24	Professional		$31.34	$71.03	$116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $75.53 / $155.57	Professional		$27.51	$75.53	$155.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $82.76 / $1,203.00	Facility		$25.36	$82.76	$1,203.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $100.38 / $331.64	Professional		$60.90	$100.38	$331.64
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 $59.40 / $90.82 / $175.29	Professional		$59.40	$90.82	$175.29