Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.40 / $1,456.00 / $6,245.00	Facility		$120.40	$1,456.00	$6,245.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $551.50 / $1,065.25 / $2,157.00	Facility	50	$551.50	$1,065.25	$2,157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $75.70 / $92.97	Professional		$46.03	$75.70	$92.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.81 / $95.92 / $95.92	Professional	50	$70.81	$95.92	$95.92
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $192.18 / $192.18 / $204.50	Professional	50	$192.18	$192.18	$204.50
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 $51.49 / $86.80 / $119.19	Professional		$51.49	$86.80	$119.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $94.73 / $138.96	Professional		$57.17	$94.73	$138.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $88.08 / $1,130.00	Facility		$48.34	$88.08	$1,130.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $893.76 / $893.76 / $893.76	Facility	50	$893.76	$893.76	$893.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $105.01 / $1,800.00	Professional		$75.79	$105.01	$1,800.00
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $95.41 / $131.50	Professional		$73.05	$95.41	$131.50