Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,398.83 / $5,623.41	Facility		$575.44	$2,398.83	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $3,311.31 / $5,754.40	Facility	50	$954.99	$3,311.31	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $537.03	Professional		$83.18	$181.97	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $338.84 / $933.25	Professional	50	$83.18	$338.84	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $239.88	Professional		$79.43	$162.18	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $223.87 / $346.74	Professional	50	$117.49	$223.87	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,548.82	Facility		$323.59	$1,047.13	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $251.19	Professional		$64.57	$125.89	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $295.12	Professional		$91.20	$169.82	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $1,905.46	Facility		$87.10	$186.21	$1,905.46
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	50	$3,981.07	$3,981.07	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $3,090.30	Professional		$158.49	$257.04	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,235.94	Facility		$758.58	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $288.40	Professional		$77.62	$154.88	$288.40