Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.18 / $1,893.92 / $7,655.00	Facility		$181.18	$1,893.92	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,289.43 / $1,968.00 / $3,409.50	Facility	50	$1,289.43	$1,968.00	$3,409.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $153.38 / $287.73	Professional		$82.95	$153.38	$287.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.50 / $234.50 / $264.58	Professional	50	$234.50	$234.50	$264.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $76.94 / $76.94	Professional		$76.94	$76.94	$76.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $142.71 / $142.71 / $142.71	Professional	50	$142.71	$142.71	$142.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.95 / $692.03 / $998.33	Facility		$304.95	$692.03	$998.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $190.21 / $287.82	Professional		$161.68	$190.21	$287.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $188.12 / $298.26	Professional		$101.78	$188.12	$298.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.63 / $229.45 / $1,576.00	Facility		$104.63	$229.45	$1,576.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,044.03 / $1,044.03 / $1,045.23	Facility	50	$1,044.03	$1,044.03	$1,045.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $289.06 / $3,100.00	Professional		$185.78	$289.06	$3,100.00
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,746.00	Facility		$525.00	$1,353.00	$2,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $213.80 / $374.44	Professional		$177.92	$213.80	$374.44