Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $3,281.00 / $7,365.00	Facility		$569.26	$3,281.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,630.50 / $2,409.00 / $3,765.60	Facility	50	$1,630.50	$2,409.00	$3,765.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $445.72 / $726.84	Professional		$368.06	$445.72	$726.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $940.94 / $940.94 / $940.94	Professional	50	$940.94	$940.94	$940.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $393.79 / $540.99	Professional		$229.27	$393.79	$540.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $615.61 / $615.61 / $615.61	Professional	50	$615.61	$615.61	$615.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,620.02 / $2,568.26	Facility		$896.00	$1,620.02	$2,568.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.36 / $666.31 / $744.16	Professional		$566.36	$666.31	$744.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.00 / $442.00 / $442.00	Facility		$442.00	$442.00	$442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.17 / $571.03 / $896.78	Professional		$438.17	$571.03	$896.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.05 / $641.39 / $3,125.00	Facility		$428.05	$641.39	$3,125.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.23 / $574.80 / $4,131.06	Professional		$448.23	$574.80	$4,131.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $3,096.00 / $5,565.00	Facility		$1,436.00	$3,096.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.04 / $512.91 / $717.10	Professional		$443.04	$512.91	$717.10