Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.56 / $3,158.00 / $10,439.00	Facility		$222.56	$3,158.00	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $232.39 / $232.39 / $232.39	Facility	50	$232.39	$232.39	$232.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $123.15 / $222.56	Professional		$96.18	$123.15	$222.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $356.63 / $389.67	Professional	50	$154.88	$356.63	$389.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $105.93 / $170.55	Professional		$95.75	$105.93	$170.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $143.62 / $152.58 / $175.47	Professional	50	$143.62	$152.58	$175.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $74.48	Facility		$74.48	$74.48	$74.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $305.95 / $338.17	Professional		$287.44	$305.95	$338.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $150.69 / $275.00	Professional		$100.57	$150.69	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $206.83 / $797.00	Facility		$55.00	$206.83	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $171.37 / $1,169.94	Professional		$105.32	$171.37	$1,169.94
United Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $406.00 / $1,661.00	Facility		$245.40	$406.00	$1,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $134.61 / $238.99	Professional		$103.23	$134.61	$238.99