Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.54 / $2,292.63 / $6,422.00	Facility		$222.54	$2,292.63	$6,422.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $682.00 / $2,613.29 / $4,931.25	Facility	50	$682.00	$2,613.29	$4,931.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $136.44 / $188.63	Professional		$79.95	$136.44	$188.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.52 / $169.71 / $169.71	Professional	50	$125.52	$169.71	$169.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $395.88 / $395.88 / $395.88	Professional	50	$395.88	$395.88	$395.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.80 / $2,927.28 / $4,626.02	Facility		$1,832.80	$2,927.28	$4,626.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $167.65 / $230.21	Professional		$89.04	$167.65	$230.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.49 / $770.49 / $770.49	Facility		$770.49	$770.49	$770.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $183.61 / $270.33	Professional		$101.88	$183.61	$270.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $171.77 / $2,226.50	Facility		$83.95	$171.77	$2,226.50
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,002.14 / $2,002.14 / $2,130.94	Facility	50	$2,002.14	$2,002.14	$2,130.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $214.19 / $3,100.00	Professional		$148.44	$214.19	$3,100.00
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,265.00 / $2,637.00	Facility		$352.00	$1,265.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $190.37 / $323.45	Professional		$142.34	$190.37	$323.45