Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,752.00 / $6,483.00	Facility		$936.00	$2,752.00	$6,483.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,251.00 / $2,172.75 / $15,918.76	Facility	50	$1,251.00	$2,172.75	$15,918.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $1,260.02 / $2,336.85	Professional		$297.81	$1,260.02	$2,336.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,332.66 / $3,021.00 / $6,015.33	Professional	50	$2,332.66	$3,021.00	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $192.99 / $1,341.88	Professional		$96.50	$192.99	$1,341.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $192.95 / $206.78 / $206.78	Professional	50	$192.95	$206.78	$206.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $314.52 / $518.16	Facility		$79.20	$314.52	$518.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $1,015.57 / $1,523.35	Professional		$289.02	$1,015.57	$1,523.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $500.98	Facility		$500.98	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $1,104.33 / $2,980.25	Professional		$313.64	$1,104.33	$2,980.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $319.82 / $1,315.83 / $2,537.86	Facility		$319.82	$1,315.83	$2,537.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,485.00 / $2,295.34 / $11,617.10	Professional		$1,485.00	$2,295.34	$11,617.10
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,383.35 / $1,921.68 / $3,347.32	Professional		$1,383.35	$1,921.68	$3,347.32