Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.14 / $2,300.00 / $5,506.00	Facility		$509.14	$2,300.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,440.00 / $3,960.00 / $3,960.00	Facility	50	$1,440.00	$3,960.00	$3,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $230.74 / $692.22	Professional		$114.56	$230.74	$692.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $288.25 / $2,121.00	Professional	50	$171.84	$288.25	$2,121.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $664.65 / $664.65 / $664.65	Professional		$664.65	$664.65	$664.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $895.34 / $895.34 / $895.34	Professional	50	$895.34	$895.34	$895.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.30 / $1,288.67 / $2,107.78	Facility		$342.30	$1,288.67	$2,107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $139.91 / $209.87	Professional		$92.19	$139.91	$209.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $239.37 / $442.75	Professional		$126.19	$239.37	$442.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $253.81 / $1,438.00	Facility		$126.16	$253.81	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $322.56 / $1,990.16	Professional		$228.48	$322.56	$1,990.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $2,017.00 / $3,268.00	Facility		$1,086.00	$2,017.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $272.05 / $516.16	Professional		$224.44	$272.05	$516.16