Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $1,561.45 / $7,365.00	Facility		$252.68	$1,561.45	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $832.50 / $2,971.50 / $3,936.00	Facility	50	$832.50	$2,971.50	$3,936.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.30 / $36.40 / $80.40	Facility	53	$26.30	$36.40	$80.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $184.12 / $402.00	Professional		$99.11	$184.12	$402.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.32 / $270.54 / $326.70	Professional	50	$162.32	$270.54	$326.70
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.57 / $40.76 / $80.40	Professional	53	$20.57	$40.76	$80.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $101.28 / $202.57	Professional		$94.37	$101.28	$202.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $175.04 / $175.04 / $175.04	Professional	50	$175.04	$175.04	$175.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.98 / $688.43 / $998.33	Facility		$408.98	$688.43	$998.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $210.00 / $463.00	Professional		$178.50	$210.00	$463.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $238.90 / $531.29	Professional		$120.20	$238.90	$531.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $312.64 / $1,541.00	Facility		$128.22	$312.64	$1,541.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $752.00 / $764.65 / $1,104.20	Facility	50	$752.00	$764.65	$1,104.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $372.65 / $4,050.50	Professional		$251.11	$372.65	$4,050.50
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.61 / $306.66 / $509.80	Professional		$240.61	$306.66	$509.80