Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.56 / $1,495.00 / $7,500.00	Facility		$102.56	$1,495.00	$7,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $920.50 / $1,263.54 / $3,963.92	Facility	50	$920.50	$1,263.54	$3,963.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $68.90 / $122.68	Professional		$41.61	$68.90	$122.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.58 / $209.58 / $209.58	Professional	50	$209.58	$209.58	$209.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $43.46 / $43.46	Professional		$43.46	$43.46	$43.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $42.40 / $42.40 / $42.40	Professional	50	$42.40	$42.40	$42.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.51 / $750.00 / $859.51	Facility		$463.51	$750.00	$859.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $94.37 / $143.00	Professional		$80.20	$94.37	$143.00
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 $47.82 / $87.38 / $153.00	Professional		$47.82	$87.38	$153.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $113.19 / $1,515.00	Facility		$43.29	$113.19	$1,515.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $124.05 / $1,340.00	Professional		$82.65	$124.05	$1,340.00
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 $82.25 / $109.58 / $159.68	Professional		$82.25	$109.58	$159.68