Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $6,456.54	Facility		$1,348.96	$3,090.30	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $489.78	Professional		$97.72	$151.36	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $489.78 / $891.25	Professional	50	$169.82	$489.78	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $169.82	Professional		$120.23	$125.89	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $213.80 / $371.54	Professional	50	$181.97	$213.80	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $630.96 / $933.25	Facility		$194.98	$630.96	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $194.98	Professional		$77.62	$104.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $245.47	Professional		$107.15	$151.36	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $1,445.44	Facility		$104.71	$158.49	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $1,000.00	Professional		$114.82	$165.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,202.26 / $2,187.76	Facility		$251.19	$1,202.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $223.87	Professional		$100.00	$128.82	$223.87