Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,380.38 / $6,456.54	Facility		$100.00	$1,380.38	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $263.03	Professional		$47.86	$104.71	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $154.88 / $457.09	Professional	50	$74.13	$154.88	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $141.25	Professional		$44.67	$61.66	$141.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $85.11 / $158.49	Professional	50	$60.26	$85.11	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $4,365.16	Facility		$1,737.80	$2,691.53	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $144.54	Professional		$51.29	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $186.21	Professional		$63.10	$100.00	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $128.82 / $1,659.59	Facility		$51.29	$128.82	$1,659.59
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	53	$48.98	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $2,511.89	Professional		$85.11	$134.90	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $630.96 / $1,659.59	Facility		$138.04	$630.96	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $151.36	Professional		$45.71	$81.28	$151.36