Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $3,617.00 / $6,329.00	Facility		$936.00	$3,617.00	$6,329.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,188.91 / $4,188.91 / $4,188.91	Facility	50	$4,188.91	$4,188.91	$4,188.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $137.30 / $316.79	Professional		$106.68	$137.30	$316.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $915.00	Professional	50	$172.38	$172.38	$915.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $125.08 / $125.08	Professional		$125.08	$125.08	$125.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $187.62 / $187.62 / $187.62	Professional	50	$187.62	$187.62	$187.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $111.35 / $131.18	Professional		$93.26	$111.35	$131.18
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 $102.26 / $131.25 / $275.04	Professional		$102.26	$131.25	$275.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $182.65 / $1,919.00	Facility		$107.74	$182.65	$1,919.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $134.31 / $1,546.10	Professional		$103.68	$134.31	$1,546.10
United Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,409.00 / $2,175.00	Facility		$617.00	$1,409.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $130.53 / $257.06	Professional		$101.32	$130.53	$257.06