Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $2,114.00 / $5,506.00	Facility		$98.96	$2,114.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $627.00 / $1,881.00 / $3,960.00	Facility	50	$627.00	$1,881.00	$3,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $79.45 / $254.64	Professional		$47.03	$79.45	$254.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.60 / $395.44 / $437.12	Professional	50	$120.60	$395.44	$437.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.13 / $108.80 / $121.60	Professional	50	$73.13	$108.80	$121.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $461.44 / $730.98	Facility		$118.71	$461.44	$730.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $47.53 / $71.29	Professional		$36.01	$47.53	$71.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $90.64 / $153.55	Professional		$52.76	$90.64	$153.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $87.11 / $1,126.00	Facility		$49.34	$87.11	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $106.68 / $387.28	Professional		$78.50	$106.68	$387.28
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 $77.61 / $91.08 / $177.11	Professional		$77.61	$91.08	$177.11