Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,778.28 / $6,456.54	Facility		$151.36	$1,778.28	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $2,454.71 / $4,265.80	Facility	50	$478.63	$2,454.71	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $371.54	Professional		$83.18	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $263.03 / $831.76	Professional	50	$131.83	$263.03	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $331.13	Professional		$79.43	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $169.82 / $263.03	Professional	50	$112.20	$169.82	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $4,365.16	Facility		$1,737.80	$2,691.53	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $229.09	Professional		$87.10	$165.96	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $275.42	Professional		$104.71	$186.21	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $2,754.23	Facility		$87.10	$234.42	$2,754.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $2,137.96	Facility	50	$1,995.26	$1,995.26	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $3,090.30	Professional		$141.25	$204.17	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $2,630.27	Facility		$371.54	$1,318.26	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $257.04	Professional		$77.62	$134.90	$257.04