Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.50 / $3,576.00 / $7,500.00	Facility		$609.50	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $551.50 / $609.50 / $2,130.50	Facility	50	$551.50	$609.50	$2,130.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $197.68 / $197.68 / $197.68	Professional	50	$197.68	$197.68	$197.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,646.01 / $4,944.21 / $7,161.81	Facility		$3,646.01	$4,944.21	$7,161.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $164.81 / $164.81	Facility		$164.81	$164.81	$164.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $294.77 / $1,130.00	Facility		$145.88	$294.77	$1,130.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $154.41 / $154.41 / $154.41	Professional	50	$154.41	$154.41	$154.41
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $2,526.73	Facility		$139.00	$610.00	$2,526.73