Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $1,204.00 / $7,655.00	Facility		$156.47	$1,204.00	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $286.00 / $286.00 / $722.00	Facility	50	$286.00	$286.00	$722.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.27 / $16.97 / $36.54	Facility	53	$12.27	$16.97	$36.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $95.62 / $171.46	Professional		$46.61	$95.62	$171.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $51.23 / $53.30	Professional		$44.73	$51.23	$53.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $860.61 / $1,219.00	Facility		$333.00	$860.61	$1,219.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $94.00 / $212.00	Professional		$79.90	$94.00	$212.00
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 $58.36 / $109.29 / $245.86	Professional		$58.36	$109.29	$245.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $143.51 / $611.00	Facility		$53.20	$143.51	$611.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $170.25 / $2,512.54	Professional		$108.16	$170.25	$2,512.54
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $135.19 / $219.19	Professional		$106.10	$135.19	$219.19