Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $8,317.64	Facility		$691.83	$4,265.80	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	50	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,096.48 / $2,630.27	Professional		$281.84	$1,096.48	$2,630.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $1,047.13 / $5,754.40	Professional	50	$426.58	$1,047.13	$5,754.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $407.38	Professional		$151.36	$151.36	$407.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $309.03 / $616.60	Professional	50	$302.00	$309.03	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Facility		$467.74	$630.96	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $2,238.72	Professional		$467.74	$467.74	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,258.93 / $2,951.21	Professional		$380.19	$1,258.93	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,137.96 / $6,165.95	Facility		$407.38	$2,137.96	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $12,022.64	Professional		$1,584.89	$2,398.83	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $10,715.19	Facility		$2,818.38	$5,623.41	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,513.56 / $2,454.71	Professional		$331.13	$1,513.56	$2,454.71