Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,344.23 / $6,606.93	Facility		$691.83	$2,344.23	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $2,630.27 / $7,762.47	Facility	50	$724.44	$2,630.27	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $933.25	Professional		$181.97	$354.81	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $616.60 / $2,511.89	Professional	50	$79.43	$616.60	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $281.84	Professional		$79.43	$95.50	$281.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $134.90 / $426.58	Professional	50	$109.65	$134.90	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $2,691.53	Facility		$549.54	$1,778.28	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $489.78	Professional		$131.83	$245.47	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $602.56	Professional		$194.98	$380.19	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $3,801.89	Facility		$199.53	$389.05	$3,801.89
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	50	$3,801.89	$3,801.89	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $3,801.89	Professional		$275.42	$436.52	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $5,370.32	Facility		$2,238.72	$3,162.28	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $575.44	Professional		$181.97	$363.08	$575.44