Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.81 / $2,300.00 / $5,506.00	Facility		$341.81	$2,300.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,881.00 / $2,978.46 / $3,960.00	Facility	50	$1,881.00	$2,978.46	$3,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $157.28 / $463.51	Professional		$82.01	$157.28	$463.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.08 / $280.68 / $1,486.13	Professional	50	$69.08	$280.68	$1,486.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $159.96 / $446.21	Professional		$159.96	$159.96	$446.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $130.05 / $239.94 / $597.84	Professional	50	$130.05	$239.94	$597.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.30 / $1,288.67 / $2,107.78	Facility		$342.30	$1,288.67	$2,107.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $93.94 / $140.91	Professional		$64.15	$93.94	$140.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $166.66 / $295.33	Professional		$90.47	$166.66	$295.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $170.40 / $1,487.00	Facility		$87.75	$170.40	$1,487.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,937.19 / $3,937.19 / $3,937.19	Facility	50	$3,937.19	$3,937.19	$3,937.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $250.80 / $776.25	Professional		$155.63	$250.80	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $204.61 / $357.01	Professional		$152.83	$204.61	$357.01