Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $5,623.41	Facility		$1,047.13	$2,818.38	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $2,818.38 / $5,754.40	Facility	50	$416.87	$2,818.38	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $630.96	Professional		$102.33	$204.17	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $380.19 / $1,122.02	Professional	50	$162.18	$380.19	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $338.84	Professional		$93.33	$177.83	$338.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $257.04 / $371.54	Professional	50	$131.83	$257.04	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,548.82	Facility		$323.59	$1,047.13	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $269.15	Professional		$74.13	$134.90	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $331.13	Professional		$107.15	$190.55	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $199.53 / $1,905.46	Facility		$102.33	$199.53	$1,905.46
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	50	$3,890.45	$3,890.45	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $3,467.37	Professional		$173.78	$288.40	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,235.94	Facility		$758.58	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $323.59	Professional		$93.33	$173.78	$323.59