Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $454.31 / $1,341.75	Professional		$251.86	$454.31	$1,341.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $3,789.00	Professional	50	$639.87	$639.87	$3,789.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $228.97 / $282.08	Professional		$183.18	$228.97	$282.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,283.06 / $3,616.69	Facility		$587.35	$2,283.06	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $210.02 / $259.70	Professional		$164.81	$210.02	$259.70
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 $210.64 / $453.13 / $1,078.27	Professional		$210.64	$453.13	$1,078.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.11 / $470.35 / $2,649.00	Facility		$224.11	$470.35	$2,649.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.05 / $506.94 / $2,946.00	Professional		$393.05	$506.94	$2,946.00
United Facility/Professional Facility Modifier Low / Median / High Price $968.00 / $1,958.00 / $3,268.00	Facility		$968.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.05 / $493.35 / $808.57	Professional		$393.05	$493.35	$808.57