Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,513.56 / $6,456.54	Facility		$154.88	$1,513.56	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $2,951.21 / $3,890.45	Facility	50	$549.54	$2,951.21	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $407.38	Professional		$97.72	$177.83	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $467.74 / $891.25	Professional	50	$151.36	$467.74	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $177.83	Professional		$85.11	$93.33	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $251.19 / $288.40	Professional	50	$134.90	$251.19	$288.40
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 $102.33 / $181.97 / $251.19	Professional		$102.33	$181.97	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $309.03	Professional		$120.23	$208.93	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $2,754.23	Facility		$100.00	$251.19	$2,754.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility	50	$2,238.72	$2,238.72	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $3,467.37	Professional		$154.88	$223.87	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $2,630.27	Facility		$371.54	$1,318.26	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $281.84	Professional		$93.33	$151.36	$281.84