Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,905.46 / $6,456.54	Facility		$204.17	$1,905.46	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $1,819.70 / $3,235.94	Facility	50	$602.56	$1,819.70	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $426.58	Professional		$97.72	$177.83	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $275.42 / $630.96	Professional	50	$151.36	$275.42	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $177.83	Professional		$89.13	$107.15	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $177.83 / $288.40	Professional	50	$151.36	$177.83	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,122.02	Facility		$323.59	$1,047.13	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $338.84	Professional		$114.82	$208.93	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $263.03 / $2,187.76	Facility		$125.89	$263.03	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $3,467.37	Professional		$190.55	$309.03	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,570.40	Facility		$524.81	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $354.81	Professional		$109.65	$186.21	$354.81