Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $1,348.96 / $7,413.10	Facility		$44.67	$1,348.96	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $81.28 / $489.78 / $3,235.94	Facility	50	$81.28	$489.78	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $85.11	Professional		$29.51	$46.77	$85.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.90 / $69.18 / $123.03	Professional	50	$30.90	$69.18	$123.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $63.10	Professional		$34.67	$43.65	$63.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $63.10 / $112.20	Professional	50	$51.29	$63.10	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $512.86 / $549.54	Facility		$100.00	$512.86	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $67.61	Professional		$45.71	$45.71	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $97.72	Professional		$33.88	$53.70	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $1,096.48	Facility		$38.90	$60.26	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $354.81	Professional		$47.86	$63.10	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $407.38 / $1,778.28	Facility		$44.67	$407.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $72.44	Professional		$34.67	$48.98	$72.44