Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,884.03 / $6,456.54	Facility		$138.04	$2,884.03	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $1,071.52 / $3,019.95	Facility	50	$724.44	$1,071.52	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $446.68	Professional		$61.66	$165.96	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $194.98 / $616.60	Professional	50	$95.50	$194.98	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $223.87	Professional		$58.88	$70.79	$223.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $117.49 / $524.81	Professional	50	$85.11	$117.49	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $338.84	Professional		$114.82	$114.82	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $380.19	Professional		$72.44	$147.91	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $251.19 / $537.03	Facility		$66.07	$251.19	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $2,041.74	Professional		$190.55	$275.42	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $1,905.46	Facility		$190.55	$537.03	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $302.00	Professional		$74.13	$162.18	$302.00