Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.42 / $2,300.00 / $5,929.53	Facility		$835.42	$2,300.00	$5,929.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $546.50 / $2,850.00 / $5,473.70	Facility	50	$546.50	$2,850.00	$5,473.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $403.00 / $1,141.64	Professional		$194.08	$403.00	$1,141.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.02 / $740.26 / $3,375.00	Professional	50	$293.02	$740.26	$3,375.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $390.96 / $1,090.58	Professional		$183.52	$390.96	$1,090.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.27 / $617.30 / $1,486.73	Professional	50	$275.27	$617.30	$1,486.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.81 / $1,456.15 / $2,295.63	Facility		$372.81	$1,456.15	$2,295.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $229.73 / $344.59	Professional		$135.75	$229.73	$344.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $413.62 / $744.57	Professional		$213.73	$413.62	$744.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $416.48 / $3,612.00	Facility		$185.72	$416.48	$3,612.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,453.74 / $6,453.74 / $6,453.74	Facility	50	$6,453.74	$6,453.74	$6,453.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.64 / $535.46 / $1,662.55	Professional		$384.64	$535.46	$1,662.55
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 $377.92 / $470.16 / $878.01	Professional		$377.92	$470.16	$878.01