Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $2,293.01 / $6,187.00	Facility		$299.11	$2,293.01	$6,187.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,448.48 / $4,004.84 / $6,291.44	Facility	50	$1,448.48	$4,004.84	$6,291.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.82 / $19.82 / $43.52	Facility	53	$19.82	$19.82	$43.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $189.75 / $280.80	Professional		$95.09	$189.75	$280.80
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.82 / $30.89 / $43.99	Professional	53	$19.82	$30.89	$43.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $361.84 / $361.84	Professional		$361.84	$361.84	$361.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $257.19 / $325.02 / $542.75	Professional	50	$257.19	$325.02	$542.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.80 / $2,927.28 / $4,626.02	Facility		$1,832.80	$2,927.28	$4,626.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $233.45 / $320.56	Professional		$112.15	$233.45	$320.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.49 / $770.49 / $770.49	Facility		$770.49	$770.49	$770.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $174.53 / $355.49	Professional		$118.63	$174.53	$355.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $239.17 / $2,038.67	Facility		$104.07	$239.17	$2,038.67
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,196.79 / $1,680.42 / $2,720.68	Facility	50	$1,196.79	$1,680.42	$2,720.68
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 $206.45 / $305.60 / $4,050.50	Professional		$206.45	$305.60	$4,050.50
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,325.00 / $2,637.00	Facility		$375.00	$1,325.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $267.17 / $388.61	Professional		$194.30	$267.17	$388.61