Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.70 / $2,690.00 / $7,655.00	Facility		$285.70	$2,690.00	$7,655.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $987.00 / $2,065.50 / $2,445.94	Facility	50	$987.00	$2,065.50	$2,445.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $172.53 / $336.42	Professional		$54.29	$172.53	$336.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.72 / $168.21 / $168.21	Professional	50	$135.72	$168.21	$168.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $49.93 / $49.93	Professional		$49.93	$49.93	$49.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $92.60 / $92.60 / $92.60	Professional	50	$92.60	$92.60	$92.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $101.73 / $307.87	Professional		$86.47	$101.73	$307.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $166.97 / $331.00	Professional		$67.31	$166.97	$331.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $225.96 / $473.34	Facility		$57.24	$225.96	$473.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.97 / $249.11 / $1,779.12	Professional		$182.97	$249.11	$1,779.12
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $226.43 / $367.93	Professional		$175.76	$226.43	$367.93