Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $1,367.00 / $5,506.00	Facility		$292.50	$1,367.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,101.25 / $1,320.00 / $2,232.00	Facility	50	$1,101.25	$1,320.00	$2,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $190.03 / $573.75	Professional		$121.98	$190.03	$573.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $168.13 / $223.74	Professional		$161.66	$168.13	$223.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.10 / $1,100.28 / $1,810.96	Facility		$294.10	$1,100.28	$1,810.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $134.29 / $167.86	Professional		$100.72	$134.29	$167.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $175.99 / $300.30	Professional		$136.63	$175.99	$300.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $181.06 / $1,868.00	Facility		$128.04	$181.06	$1,868.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $33.49 / $62.22 / $62.22	Facility	AS	$33.49	$62.22	$62.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $165.23 / $987.52	Professional		$128.32	$165.23	$987.52
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $153.13 / $275.30	Professional		$126.29	$153.13	$275.30