Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $208.93 / $524.81	Facility		$40.74	$208.93	$524.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.23 / $426.58 / $977.24	Facility	50	$316.23	$426.58	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $141.25	Professional		$25.12	$77.62	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $1,023.29	Professional	50	$154.88	$154.88	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $74.13 / $93.33	Professional		$18.20	$74.13	$93.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $112.20 / $134.90	Professional	50	$42.66	$112.20	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $371.54	Facility		$199.53	$263.03	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $128.82	Professional		$33.88	$33.88	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $69.18 / $138.04	Professional		$22.91	$69.18	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $457.09	Facility		$29.51	$91.20	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $660.69	Professional		$85.11	$125.89	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $407.38 / $1,778.28	Facility		$117.49	$407.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $134.90	Professional		$28.84	$69.18	$134.90