Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $1,797.93 / $7,655.00	Facility		$93.19	$1,797.93	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $333.00 / $964.80 / $2,065.50	Facility	50	$333.00	$964.80	$2,065.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $80.06 / $148.32	Professional		$46.93	$80.06	$148.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.14 / $135.56 / $151.94	Professional	50	$73.14	$135.56	$151.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $80.04 / $80.04 / $80.04	Professional	50	$80.04	$80.04	$80.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $886.21 / $1,219.00	Facility		$333.00	$886.21	$1,219.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $98.00 / $147.93	Professional		$83.30	$98.00	$147.93
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 $58.41 / $98.93 / $163.47	Professional		$58.41	$98.93	$163.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $114.42 / $611.00	Facility		$52.86	$114.42	$611.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.33 / $1,621.33 / $1,621.33	Facility	50	$1,621.33	$1,621.33	$1,621.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $131.01 / $1,800.00	Professional		$92.68	$131.01	$1,800.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $110.15 / $155.16	Professional		$89.92	$110.15	$155.16