Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.12 / $2,633.00 / $6,329.00	Facility		$647.12	$2,633.00	$6,329.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,659.00 / $2,659.00 / $2,659.00	Facility	50	$2,659.00	$2,659.00	$2,659.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $305.19 / $883.90	Professional		$229.90	$305.19	$883.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $152.13 / $171.73	Professional		$152.13	$152.13	$171.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,197.38 / $3,616.69	Facility		$587.35	$2,197.38	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $284.99 / $374.09	Professional		$249.40	$284.99	$374.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,833.49 / $2,833.49 / $2,833.49	Facility		$2,833.49	$2,833.49	$2,833.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.43 / $352.34 / $620.98	Professional		$249.43	$352.34	$620.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.98 / $340.77 / $3,339.00	Facility		$240.98	$340.77	$3,339.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $424.35 / $2,466.08	Professional		$287.64	$424.35	$2,466.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,339.00 / $5,838.00	Facility		$2,343.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $358.16 / $747.86	Professional		$280.72	$358.16	$747.86