Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,255.00 / $5,334.00	Facility		$936.00	$2,255.00	$5,334.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $541.00 / $541.00 / $2,943.50	Facility	50	$541.00	$541.00	$2,943.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $309.50 / $768.08	Professional		$96.65	$309.50	$768.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $130.88 / $378.11	Professional		$65.44	$130.88	$378.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,627.46 / $2,700.74	Facility		$412.80	$1,627.46	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $175.35 / $283.98	Professional		$87.95	$175.35	$283.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.20 / $612.20 / $612.20	Facility		$612.20	$612.20	$612.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $277.30 / $801.94	Professional		$116.49	$277.30	$801.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $337.38 / $1,487.00	Facility		$112.48	$337.38	$1,487.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,299.40 / $3,299.40 / $3,299.40	Facility	50	$3,299.40	$3,299.40	$3,299.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $388.74 / $388.74	Facility	52	$388.74	$388.74	$388.74
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.18 / $97.18 / $97.18	Facility	53	$97.18	$97.18	$97.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $652.79 / $2,804.09	Professional		$296.64	$652.79	$2,804.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,525.00 / $3,268.00	Facility		$1,068.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $548.70 / $850.86	Professional		$292.05	$548.70	$850.86