Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $1,671.00 / $5,506.00	Facility		$98.15	$1,671.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.00 / $1,320.00 / $2,409.76	Facility	50	$660.00	$1,320.00	$2,409.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $84.51 / $474.05	Professional		$46.93	$84.51	$474.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.41 / $148.51 / $494.96	Professional	50	$70.41	$148.51	$494.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $81.89 / $228.43	Professional		$81.89	$81.89	$228.43
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.53 / $122.84 / $161.63	Professional	50	$72.53	$122.84	$161.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $446.91 / $730.98	Facility		$118.71	$446.91	$730.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $48.01 / $72.02	Professional		$35.71	$48.01	$72.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $90.11 / $151.60	Professional		$52.09	$90.11	$151.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $87.92 / $1,203.00	Facility		$48.94	$87.92	$1,203.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,088.44 / $2,088.44 / $2,088.44	Facility	50	$2,088.44	$2,088.44	$2,088.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $106.68 / $483.00	Professional		$79.18	$106.68	$483.00
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $93.98 / $179.88	Professional		$78.43	$93.98	$179.88