Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.02 / $2,624.00 / $8,101.00	Facility		$378.02	$2,624.00	$8,101.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,444.00 / $1,968.00 / $3,936.00	Facility	50	$1,444.00	$1,968.00	$3,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $375.39 / $715.67	Professional		$189.44	$375.39	$715.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $640.22 / $640.22 / $640.22	Professional	50	$640.22	$640.22	$640.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $163.34 / $163.34	Professional		$163.34	$163.34	$163.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.98 / $302.98 / $302.98	Professional	50	$302.98	$302.98	$302.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $369.00 / $727.38	Professional		$313.64	$369.00	$727.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $419.94 / $730.24	Professional		$229.51	$419.94	$730.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $563.13 / $3,595.00	Facility		$189.44	$563.13	$3,595.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.84 / $607.74 / $3,260.40	Professional		$443.84	$607.74	$3,260.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,565.00	Facility		$1,436.00	$3,096.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.32 / $542.36 / $790.18	Professional		$429.32	$542.36	$790.18