Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.75 / $1,586.00 / $4,521.00	Facility		$497.75	$1,586.00	$4,521.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $600.40 / $1,320.00 / $3,420.00	Facility	50	$600.40	$1,320.00	$3,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $86.79 / $224.20	Professional		$48.84	$86.79	$224.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $492.00 / $724.44	Professional	50	$83.28	$492.00	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $70.98 / $70.98	Professional		$64.14	$70.98	$70.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $760.46 / $1,261.97	Facility		$209.77	$760.46	$1,261.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $39.20 / $62.07	Professional		$29.15	$39.20	$62.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $84.65 / $146.74	Professional		$44.89	$84.65	$146.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $78.08 / $1,438.00	Facility		$39.90	$78.08	$1,438.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,198.63 / $2,198.63 / $2,602.28	Facility	50	$2,198.63	$2,198.63	$2,602.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $107.93 / $1,340.00	Professional		$71.94	$107.93	$1,340.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $95.38 / $159.01	Professional		$69.76	$95.38	$159.01