Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.39 / $2,508.00 / $5,506.00	Facility		$370.39	$2,508.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $627.00 / $2,978.46 / $5,016.00	Facility	50	$627.00	$2,978.46	$5,016.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $175.65 / $531.70	Professional		$98.04	$175.65	$531.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $266.55 / $1,381.00	Professional	50	$98.04	$266.55	$1,381.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $182.46 / $483.52	Professional		$173.34	$182.46	$483.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $150.71 / $260.01 / $649.71	Professional	50	$150.71	$260.01	$649.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.30 / $1,280.61 / $2,107.78	Facility		$342.30	$1,280.61	$2,107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $101.74 / $152.60	Professional		$74.31	$101.74	$152.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $191.39 / $330.20	Professional		$106.58	$191.39	$330.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $187.63 / $1,487.00	Facility		$101.67	$187.63	$1,487.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,925.26 / $3,925.26 / $3,925.26	Facility	50	$3,925.26	$3,925.26	$3,925.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $276.26 / $1,012.00	Professional		$172.84	$276.26	$1,012.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $232.64 / $402.96	Professional		$168.33	$232.64	$402.96