Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,359.00 / $5,506.00	Facility		$1,162.00	$2,359.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,557.00 / $1,557.00 / $1,557.00	Facility	50	$1,557.00	$1,557.00	$1,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $112.43 / $475.00	Professional		$95.89	$112.43	$475.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $783.00 / $898.50	Professional	50	$168.66	$783.00	$898.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $91.95 / $91.95	Professional		$91.95	$91.95	$91.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $197.03 / $275.83 / $275.83	Professional	50	$197.03	$275.83	$275.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $771.55 / $1,261.97	Facility		$204.94	$771.55	$1,261.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $96.57 / $110.96	Professional		$77.26	$96.57	$110.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $151.81 / $237.62	Professional		$108.23	$151.81	$237.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $144.49 / $1,203.00	Facility		$104.22	$144.49	$1,203.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $149.94 / $784.00	Professional		$114.84	$149.94	$784.00
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 $111.36 / $137.52 / $267.39	Professional		$111.36	$137.52	$267.39