Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.90 / $2,114.00 / $5,506.00	Facility		$898.90	$2,114.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $615.64 / $928.80 / $1,687.50	Facility	50	$615.64	$928.80	$1,687.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $118.62 / $465.36	Professional		$87.26	$118.62	$465.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.16 / $182.48 / $681.05	Professional	50	$158.16	$182.48	$681.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $90.93 / $131.88	Professional		$85.58	$90.93	$131.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $197.82 / $197.82 / $224.66	Professional	50	$197.82	$197.82	$224.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.04 / $1,651.20 / $2,700.74	Facility		$428.04	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $102.52 / $140.77	Professional		$81.23	$102.52	$140.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $145.09 / $252.00	Professional		$90.07	$145.09	$252.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $204.62 / $1,868.00	Facility		$95.82	$204.62	$1,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $174.90 / $3,149.10	Professional		$97.24	$174.90	$3,149.10
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $0.51 / $100.10 / $194.01	Professional	50	$0.51	$100.10	$194.01
United Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $1,126.00 / $2,057.00	Facility		$282.82	$1,126.00	$2,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $144.06 / $226.05	Professional		$95.37	$144.06	$226.05