Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $5,506.00	Facility		$1,162.00	$2,640.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,571.40 / $1,571.40 / $1,571.40	Facility	50	$1,571.40	$1,571.40	$1,571.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $157.71 / $438.46	Professional		$117.87	$157.71	$438.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.04 / $829.50 / $1,179.00	Professional	50	$220.04	$829.50	$1,179.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $166.88 / $166.88 / $166.88	Professional	50	$166.88	$166.88	$166.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $525.76 / $859.95	Facility		$139.66	$525.76	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $97.26 / $114.83	Professional		$81.45	$97.26	$114.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $160.13 / $255.04	Professional		$114.05	$160.13	$255.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $160.19 / $1,053.00	Facility		$114.91	$160.19	$1,053.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $174.60 / $1,721.89	Professional		$126.06	$174.60	$1,721.89
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 $120.82 / $153.90 / $279.36	Professional		$120.82	$153.90	$279.36