Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,818.38 / $6,456.54	Facility		$524.81	$2,818.38	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $1,380.38 / $12,882.50	Facility	50	$562.34	$1,380.38	$12,882.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $398.11 / $977.24	Professional	50	$147.91	$398.11	$977.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $147.91 / $331.13	Professional	50	$134.90	$147.91	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $128.82 / $194.98	Facility		$39.81	$128.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $1,122.02	Facility		$123.03	$263.03	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $2,187.76	Facility		$660.69	$1,230.27	$2,187.76