Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.45 / $1,671.00 / $5,506.00	Facility		$364.45	$1,671.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $473.60 / $473.60 / $473.60	Facility	50	$473.60	$473.60	$473.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $98.22 / $355.14	Professional		$46.62	$98.22	$355.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $122.49 / $204.41	Professional	50	$69.93	$122.49	$204.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $98.74 / $129.93	Professional		$67.37	$98.74	$129.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.95 / $132.52 / $148.11	Professional	50	$64.95	$132.52	$148.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.23 / $640.61 / $1,054.39	Facility		$171.23	$640.61	$1,054.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $57.97 / $86.95	Professional		$35.54	$57.97	$86.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $100.66 / $193.47	Professional		$52.42	$100.66	$193.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $105.18 / $1,053.00	Facility		$48.70	$105.18	$1,053.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $48.61 / $48.61	Facility	53	$48.61	$48.61	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $144.82 / $2,512.54	Professional		$90.81	$144.82	$2,512.54
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $124.92 / $219.26	Professional		$85.46	$124.92	$219.26