Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.21 / $2,508.00 / $6,329.00	Facility		$469.21	$2,508.00	$6,329.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $998.00 / $3,420.00 / $4,374.00	Facility	50	$998.00	$3,420.00	$4,374.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $219.71 / $661.08	Professional		$94.56	$219.71	$661.08
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.52 / $141.52 / $191.19	Professional	22	$141.52	$141.52	$191.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.13 / $500.06 / $2,185.21	Professional	50	$139.13	$500.06	$2,185.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.02 / $41.42 / $118.09	Professional	53	$19.02	$41.42	$118.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $208.03 / $288.93	Professional		$105.93	$208.03	$288.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.90 / $329.37 / $433.39	Professional	50	$158.90	$329.37	$433.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.30 / $1,280.61 / $2,107.78	Facility		$342.30	$1,280.61	$2,107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $129.01 / $193.52	Professional		$78.36	$129.01	$193.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $211.16 / $427.71	Professional		$110.60	$211.16	$427.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $233.92 / $1,438.00	Facility		$107.21	$233.92	$1,438.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,635.22 / $3,635.22 / $3,635.22	Facility	50	$3,635.22	$3,635.22	$3,635.22
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $100.82 / $100.82 / $100.82	Facility	53	$100.82	$100.82	$100.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.84 / $307.81 / $4,050.50	Professional		$212.84	$307.81	$4,050.50
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 $206.58 / $257.52 / $471.09	Professional		$206.58	$257.52	$471.09