Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $2,100.00 / $5,506.00	Facility		$145.12	$2,100.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $608.38 / $1,247.50 / $3,762.00	Facility	50	$608.38	$1,247.50	$3,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $91.90 / $273.89	Professional		$53.86	$91.90	$273.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $146.75 / $462.93 / $823.50	Professional	50	$146.75	$462.93	$823.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.79 / $101.87 / $126.54	Professional	50	$85.79	$101.87	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.89 / $766.73 / $1,261.97	Facility		$192.89	$766.73	$1,261.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $46.25 / $59.67	Professional		$37.00	$46.25	$59.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $91.11 / $153.41	Professional		$55.22	$91.11	$153.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $84.95 / $1,126.00	Facility		$50.64	$84.95	$1,126.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,111.50 / $1,111.50 / $2,184.00	Facility	50	$1,111.50	$1,111.50	$2,184.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $102.96 / $1,157.00	Professional		$70.38	$102.96	$1,157.00
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $1,423.00 / $2,114.00	Facility		$683.00	$1,423.00	$2,114.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $95.53 / $157.81	Professional		$68.31	$95.53	$157.81