Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.30 / $2,508.00 / $5,506.00	Facility		$828.30	$2,508.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $960.00 / $3,300.00 / $3,300.00	Facility	50	$960.00	$3,300.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $410.04 / $1,132.58	Professional		$198.07	$410.04	$1,132.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $636.53 / $2,780.00	Professional	50	$315.20	$636.53	$2,780.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $387.63 / $1,081.28	Professional		$177.98	$387.63	$1,081.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.22 / $612.04 / $612.04	Professional	50	$275.22	$612.04	$612.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.81 / $1,449.13 / $2,295.63	Facility		$372.81	$1,449.13	$2,295.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $227.76 / $341.64	Professional		$135.72	$227.76	$341.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $419.36 / $753.41	Professional		$215.56	$419.36	$753.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.69 / $412.93 / $3,612.00	Facility		$185.69	$412.93	$3,612.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,406.73 / $6,406.73 / $6,406.73	Facility	50	$6,406.73	$6,406.73	$6,406.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $532.48 / $1,648.80	Professional		$385.92	$532.48	$1,648.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,339.00 / $5,838.00	Facility		$2,343.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.09 / $478.44 / $860.01	Professional		$375.09	$478.44	$860.01