Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,511.89 / $6,606.93	Facility		$524.81	$2,511.89	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $3,388.44 / $4,365.16	Facility	50	$870.96	$3,388.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $851.14	Professional		$104.71	$239.88	$851.14
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $190.55 / $1,230.27	Professional	22	$141.25	$190.55	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $407.38 / $1,445.44	Professional	50	$154.88	$407.38	$1,445.44
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.12 / $125.89 / $186.21	Professional	53	$50.12	$125.89	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $380.19	Professional		$95.50	$199.53	$380.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $316.23 / $537.03	Professional	50	$147.91	$316.23	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,548.82	Facility		$323.59	$1,047.13	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $346.74	Professional		$77.62	$173.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $416.87	Professional		$109.65	$218.78	$416.87
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	53	$128.82	$128.82	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $251.19 / $1,905.46	Facility		$107.15	$251.19	$1,905.46
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	50	$3,630.78	$3,630.78	$3,630.78
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	53	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $4,073.80	Professional		$213.80	$338.84	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,235.94	Facility		$758.58	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $363.08	Professional		$97.72	$204.17	$363.08