Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,344.23 / $5,623.41	Facility		$204.17	$2,344.23	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $47.86 / $1,862.09 / $3,235.94	Facility	50	$47.86	$1,862.09	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $316.23	Professional		$52.48	$109.65	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $467.74 / $851.14	Professional	50	$158.49	$467.74	$851.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	50	$177.83	$177.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,230.27 / $1,819.70	Facility		$380.19	$1,230.27	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $138.04	Professional		$38.90	$69.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $229.09	Professional		$61.66	$114.82	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $1,862.09	Facility		$53.70	$112.20	$1,862.09
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $1,096.48	Professional		$93.33	$158.49	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,235.94	Facility		$758.58	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $181.97	Professional		$58.88	$100.00	$181.97