Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,290.87 / $6,456.54	Facility		$389.05	$2,290.87	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $1,737.80 / $4,570.88	Facility	50	$676.08	$1,737.80	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $954.99	Professional		$186.21	$416.87	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $616.60 / $1,949.84	Professional	50	$288.40	$616.60	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $524.81	Professional		$158.49	$363.08	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $549.54 / $794.33	Professional	50	$257.04	$549.54	$794.33
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 $213.80 / $398.11 / $549.54	Professional		$213.80	$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 / $371.54 / $676.08	Professional		$257.04	$371.54	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $562.34 / $4,570.88	Facility		$181.97	$562.34	$4,570.88
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	50	$4,677.35	$4,677.35	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $3,311.31	Professional		$338.84	$489.78	$3,311.31
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 $194.98 / $331.13 / $575.44	Professional		$194.98	$331.13	$575.44