Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $4,105.37 / $10,439.00	Facility		$138.66	$4,105.37	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $410.85 / $410.85 / $410.85	Facility	50	$410.85	$410.85	$410.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $101.50 / $191.91	Professional		$55.66	$101.50	$191.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $64.04 / $64.04	Professional		$32.02	$64.04	$64.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.25 / $349.79 / $602.92	Facility		$230.25	$349.79	$602.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $108.65 / $194.84	Professional		$92.35	$108.65	$194.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $117.84 / $201.97	Professional		$66.38	$117.84	$201.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $115.55 / $776.64	Facility		$60.70	$115.55	$776.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $123.62 / $1,094.00	Professional		$85.64	$123.62	$1,094.00
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $107.12 / $175.85	Professional		$83.56	$107.12	$175.85