Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $2,157.00 / $6,335.46	Facility		$459.00	$2,157.00	$6,335.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $682.00 / $1,833.00 / $3,330.72	Facility	50	$682.00	$1,833.00	$3,330.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $170.83 / $216.50	Professional		$53.14	$170.83	$216.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.69 / $159.52 / $164.65	Professional	50	$84.69	$159.52	$164.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $136.75 / $385.37 / $385.37	Professional	50	$136.75	$385.37	$385.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.80 / $2,927.28 / $4,626.02	Facility		$1,832.80	$2,927.28	$4,626.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $163.44 / $224.44	Professional		$60.82	$163.44	$224.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $103.17 / $282.00	Professional		$72.83	$103.17	$282.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $216.50 / $1,130.00	Facility		$55.00	$216.50	$1,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $207.40 / $894.79	Professional		$149.40	$207.40	$894.79
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $192.27 / $290.44	Professional		$140.61	$192.27	$290.44