Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $6,606.93	Facility		$1,258.93	$2,884.03	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $2,290.87 / $15,848.93	Facility	50	$1,258.93	$2,290.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $758.58 / $2,511.89	Professional		$288.40	$758.58	$2,511.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $660.69 / $5,011.87	Professional	50	$363.08	$660.69	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $1,258.93	Professional		$120.23	$275.42	$1,258.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $380.19 / $1,659.59	Professional	50	$194.98	$380.19	$1,659.59
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 $288.40 / $1,023.29 / $2,454.71	Professional		$288.40	$1,023.29	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $2,754.23	Professional		$309.03	$933.25	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,318.26 / $2,570.40	Facility		$316.23	$1,318.26	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $11,748.98	Professional		$1,380.38	$2,344.23	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,187.76	Facility		$630.96	$1,230.27	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,174.90 / $2,511.89	Professional		$295.12	$1,174.90	$2,511.89