Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $5,623.41	Facility		$1,230.27	$2,630.27	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $741.31 / $2,398.83	Facility	50	$323.59	$741.31	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $380.19	Professional		$57.54	$107.15	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $162.18 / $489.78	Professional	50	$87.10	$162.18	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $165.96	Professional		$53.70	$89.13	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $131.83 / $186.21	Professional	50	$74.13	$131.83	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $537.03	Facility		$112.20	$363.08	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $138.04	Professional		$41.69	$69.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $165.96	Professional		$61.66	$97.72	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $1,445.44	Facility		$57.54	$102.33	$1,445.44
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	50	$2,089.30	$2,089.30	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $2,754.23	Professional		$85.11	$134.90	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $2,187.76	Facility		$691.83	$1,412.54	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $151.36	Professional		$54.95	$89.13	$151.36