Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,905.46 / $6,456.54	Facility		$87.10	$1,905.46	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $1,258.93 / $3,235.94	Facility	50	$549.54	$1,258.93	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $223.87	Professional		$47.86	$85.11	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $128.82 / $467.74	Professional	50	$72.44	$128.82	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $83.18	Professional		$43.65	$56.23	$83.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $85.11 / $134.90	Professional	50	$61.66	$85.11	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,071.52 / $1,122.02	Facility		$323.59	$1,071.52	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Professional		$97.72	$97.72	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $162.18	Professional		$54.95	$97.72	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $741.31	Facility		$57.54	$123.03	$741.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	50	$1,621.81	$1,621.81	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $1,819.70	Professional		$89.13	$128.82	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $1,905.46	Facility		$190.55	$537.03	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $138.04	Professional		$53.70	$87.10	$138.04