Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,995.26 / $6,456.54	Facility		$169.82	$1,995.26	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $2,089.30 / $5,623.41	Facility	50	$977.24	$2,089.30	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $389.05	Professional		$83.18	$158.49	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $269.15 / $602.56	Professional	50	$128.82	$269.15	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $177.83	Professional		$77.62	$109.65	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $147.91 / $263.03	Professional	50	$109.65	$147.91	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,122.02	Facility		$323.59	$1,047.13	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $288.40	Professional		$190.55	$190.55	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $302.00	Professional		$97.72	$186.21	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $245.47 / $2,187.76	Facility		$107.15	$245.47	$2,187.76
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	50	$1,047.13	$1,047.13	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $3,090.30	Professional		$173.78	$281.84	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,570.40	Facility		$524.81	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $316.23	Professional		$93.33	$162.18	$316.23