Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $142.96 / $159.87	Professional		$118.23	$142.96	$159.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.64 / $199.64 / $267.00	Professional	50	$199.64	$199.64	$267.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $119.45 / $119.45	Professional		$119.45	$119.45	$119.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $179.17 / $179.17 / $179.17	Professional	50	$179.17	$179.17	$179.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $152.05 / $205.51	Facility		$101.02	$152.05	$205.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $148.24 / $192.72	Professional		$110.25	$148.24	$192.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $94.81 / $94.81	Facility		$94.81	$94.81	$94.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $156.01 / $213.00	Professional		$109.16	$156.01	$213.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $186.24 / $1,676.40	Facility		$118.24	$186.24	$1,676.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $149.85 / $876.88	Professional		$121.26	$149.85	$876.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $607.00 / $1,883.00	Facility		$100.00	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $144.00 / $189.48	Professional		$121.26	$144.00	$189.48