Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $2,114.00 / $5,506.00	Facility		$96.22	$2,114.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $200.41 / $200.41 / $200.41	Facility	50	$200.41	$200.41	$200.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $45.67 / $196.00	Professional		$31.94	$45.67	$196.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $64.88 / $282.00	Professional	50	$60.55	$64.88	$282.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $42.66 / $61.62	Professional		$37.92	$42.66	$61.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $95.64 / $95.64 / $95.64	Professional	50	$95.64	$95.64	$95.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $525.76 / $859.95	Facility		$139.66	$525.76	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $30.02 / $40.38	Professional		$23.32	$30.02	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $54.36 / $88.30	Professional		$34.58	$54.36	$88.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $52.14 / $1,126.00	Facility		$32.01	$52.14	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $58.48 / $376.88	Professional		$43.38	$58.48	$376.88
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $51.68 / $97.16	Professional		$42.78	$51.68	$97.16