Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.46 / $2,202.00 / $5,506.00	Facility		$188.46	$2,202.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $570.00 / $1,140.00 / $1,980.00	Facility	50	$570.00	$1,140.00	$1,980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $92.16 / $315.93	Professional		$55.09	$92.16	$315.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $130.91 / $491.63	Professional	50	$82.64	$130.91	$491.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $92.84 / $246.03	Professional		$88.20	$92.84	$246.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $84.86 / $132.30 / $139.26	Professional	50	$84.86	$132.30	$139.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $444.12 / $730.98	Facility		$118.71	$444.12	$730.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $53.79 / $77.52	Professional		$41.78	$53.79	$77.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $97.23 / $166.76	Professional		$60.72	$97.23	$166.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $96.54 / $1,203.00	Facility		$57.24	$96.54	$1,203.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,074.80 / $2,074.80 / $2,074.80	Facility	50	$2,074.80	$2,074.80	$2,074.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $120.00 / $575.00	Professional		$85.30	$120.00	$575.00
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $106.08 / $190.39	Professional		$84.32	$106.08	$190.39