Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,737.80 / $5,754.40	Facility		$316.23	$1,737.80	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $2,089.30 / $4,168.69	Facility	50	$741.31	$2,089.30	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $512.86	Professional		$102.33	$218.78	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $398.11 / $831.76	Professional	50	$162.18	$398.11	$831.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $51.29 / $97.72	Professional	53	$51.29	$51.29	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $275.42	Professional		$91.20	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $173.78 / $537.03	Professional	50	$131.83	$173.78	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,047.13 / $1,122.02	Facility		$426.58	$1,047.13	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $446.68	Professional		$204.17	$204.17	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $426.58	Professional		$120.23	$229.09	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $323.59 / $1,995.26	Facility		$131.83	$323.59	$1,995.26
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $758.58 / $1,096.48	Facility	50	$758.58	$758.58	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $4,073.80	Professional		$234.42	$363.08	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,570.40	Facility		$524.81	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $398.11	Professional		$114.82	$218.78	$398.11