Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,090.30 / $6,309.57	Facility		$1,445.44	$3,090.30	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,122.02	Professional		$229.09	$354.81	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $1,023.29 / $2,691.53	Professional	50	$338.84	$1,023.29	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $281.84	Professional		$194.98	$251.19	$281.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	50	$398.11	$398.11	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $2,691.53	Facility		$549.54	$1,778.28	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $537.03	Professional		$213.80	$269.15	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $588.84	Professional		$229.09	$331.13	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $478.63 / $2,691.53	Facility		$245.47	$478.63	$2,691.53
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	54	$741.31	$741.31	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $2,818.38	Professional		$275.42	$389.05	$2,818.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,513.56 / $3,235.94	Facility		$467.74	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $524.81	Professional		$229.09	$323.59	$524.81