Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $1,366.00 / $6,245.00	Facility		$65.31	$1,366.00	$6,245.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $930.75 / $2,958.75 / $3,963.92	Facility	50	$930.75	$2,958.75	$3,963.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $66.67 / $97.82	Professional		$37.74	$66.67	$97.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $125.35	Professional		$125.35	$125.35	$125.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.61 / $1,793.27 / $2,797.65	Facility		$1,143.61	$1,793.27	$2,797.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $73.50 / $100.93	Professional		$40.95	$73.50	$100.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $73.01	Facility		$73.01	$73.01	$73.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $94.55 / $148.94	Professional		$48.68	$94.55	$148.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $96.35 / $2,004.36	Facility		$39.63	$96.35	$2,004.36
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $658.84 / $658.84 / $690.23	Facility	50	$658.84	$658.84	$690.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $105.63 / $1,340.00	Professional		$66.88	$105.63	$1,340.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,279.00 / $2,637.00	Facility		$270.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $86.89 / $133.03	Professional		$63.60	$86.89	$133.03