Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,980.00 / $5,506.00	Facility		$480.00	$1,980.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,081.25 / $3,300.00 / $3,300.00	Facility	50	$2,081.25	$3,300.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $191.53 / $604.34	Professional		$62.36	$191.53	$604.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $161.90 / $295.79	Professional	50	$93.56	$161.90	$295.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $224.04 / $624.95	Professional		$61.72	$224.04	$624.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $353.75 / $353.75 / $353.75	Professional	50	$353.75	$353.75	$353.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $444.12 / $730.98	Facility		$118.71	$444.12	$730.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $120.86 / $197.77	Professional		$46.99	$120.86	$197.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $159.16 / $347.25	Professional		$68.88	$159.16	$347.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $237.69 / $1,216.00	Facility		$64.39	$237.69	$1,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $246.86 / $960.61	Professional		$176.22	$246.86	$960.61
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 $172.98 / $219.24 / $397.00	Professional		$172.98	$219.24	$397.00