Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $5,506.00	Facility		$1,162.00	$2,640.00	$5,506.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $530.46 / $566.25 / $727.33	Facility	50	$530.46	$566.25	$727.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $149.78 / $623.79	Professional		$103.78	$149.78	$623.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.76 / $241.86 / $1,160.29	Professional	50	$172.76	$241.86	$1,160.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $108.93 / $115.74	Professional		$57.87	$108.93	$115.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $163.38 / $173.60 / $245.09	Professional	50	$163.38	$173.60	$245.09
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 $89.89 / $109.50 / $132.94	Professional		$89.89	$109.50	$132.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $141.50 / $282.29	Professional		$101.80	$141.50	$282.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.93 / $189.69 / $1,868.00	Facility		$110.93	$189.69	$1,868.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,632.54 / $1,632.54 / $1,632.54	Facility	50	$1,632.54	$1,632.54	$1,632.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $151.44 / $1,141.28	Professional		$119.88	$151.44	$1,141.28
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $418.50 / $426.08 / $426.08	Professional	50	$418.50	$426.08	$426.08
United Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,488.00 / $2,175.00	Facility		$617.00	$1,488.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $141.78 / $278.16	Professional		$116.55	$141.78	$278.16