Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.09 / $2,116.11 / $5,431.00	Facility		$449.09	$2,116.11	$5,431.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $748.50 / $3,300.00 / $3,990.00	Facility	50	$748.50	$3,300.00	$3,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $172.53 / $673.28	Professional		$54.29	$172.53	$673.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $172.72 / $494.55	Professional	50	$81.45	$172.72	$494.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $210.17 / $586.26	Professional		$55.97	$210.17	$586.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.96 / $265.48 / $806.33	Professional	50	$83.96	$265.48	$806.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.41 / $728.08 / $1,147.82	Facility		$186.41	$728.08	$1,147.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $113.40 / $185.57	Professional		$41.34	$113.40	$185.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $147.28 / $315.39	Professional		$60.55	$147.28	$315.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $221.23 / $1,216.00	Facility		$56.65	$221.23	$1,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $225.06 / $901.67	Professional		$160.71	$225.06	$901.67
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 $156.25 / $202.12 / $376.25	Professional		$156.25	$202.12	$376.25