Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $7,762.47	Facility		$2,041.74	$3,801.89	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $5,128.61 / $9,332.54	Facility	50	$2,187.76	$5,128.61	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $812.83 / $3,311.31	Professional		$309.03	$812.83	$3,311.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $489.78 / $2,398.83	Professional	50	$186.21	$489.78	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $354.81	Professional		$147.91	$251.19	$354.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $436.52 / $2,884.03	Professional	50	$218.78	$436.52	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $380.19	Facility		$79.43	$257.04	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,479.11 / $3,548.13	Professional		$363.08	$1,479.11	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,380.38 / $3,311.31	Professional		$371.54	$1,380.38	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,041.74 / $6,760.83	Facility		$380.19	$2,041.74	$6,760.83
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	50	$11,481.54	$11,481.54	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $14,454.40	Professional		$1,698.24	$2,630.27	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,079.46 / $10,964.78	Facility		$4,570.88	$7,079.46	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,513.56 / $2,951.21	Professional		$346.74	$1,513.56	$2,951.21