Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,949.84 / $4,786.30	Facility		$323.59	$1,949.84	$4,786.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $1,949.84 / $6,456.54	Facility	50	$812.83	$1,949.84	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $389.05	Professional		$56.23	$147.91	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $309.03 / $562.34	Professional	50	$208.93	$309.03	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $144.54 / $204.17	Professional		$44.67	$144.54	$204.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $234.42	Professional	50	$131.83	$131.83	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $186.21 / $281.84	Facility		$58.88	$186.21	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $257.04	Professional		$45.71	$128.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $251.19	Professional		$56.23	$104.71	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $1,445.44	Facility		$60.26	$162.18	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $1,148.15	Professional		$91.20	$151.36	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,122.02 / $2,187.76	Facility		$109.65	$1,122.02	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $204.17	Professional		$53.70	$93.33	$204.17