Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,456.54	Facility		$389.05	$2,187.76	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $2,344.23 / $6,025.60	Facility	50	$977.24	$2,344.23	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $407.38 / $933.25	Professional		$181.97	$407.38	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $645.65 / $1,819.70	Professional	50	$407.38	$645.65	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $524.81	Professional		$169.82	$213.80	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $323.59 / $724.44	Professional	50	$263.03	$323.59	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $4,365.16	Facility		$1,737.80	$2,691.53	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $549.54	Professional		$218.78	$398.11	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $676.08	Professional		$257.04	$380.19	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $575.44 / $4,570.88	Facility		$181.97	$575.44	$4,570.88
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	50	$3,801.89	$3,801.89	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $3,235.94	Professional		$346.74	$501.19	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,235.94 / $5,754.40	Facility		$891.25	$3,235.94	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $575.44	Professional		$199.53	$338.84	$575.44