Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $1,071.52 / $6,456.54	Facility		$46.77	$1,071.52	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $79.43 / $2,344.23 / $3,630.78	Facility	50	$79.43	$2,344.23	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $97.72	Professional		$30.90	$46.77	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $100.00 / $380.19	Professional	50	$67.61	$100.00	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $56.23	Professional		$34.67	$43.65	$56.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $63.10 / $77.62	Professional	50	$41.69	$63.10	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $218.78	Facility		$109.65	$162.18	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $61.66	Professional		$32.36	$44.67	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $77.62	Professional		$34.67	$52.48	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $75.86 / $1,659.59	Facility		$33.88	$75.86	$1,659.59
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $354.81	Professional		$42.66	$57.54	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.60 / $1,659.59	Facility		$100.00	$616.60	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $61.66	Professional		$30.20	$42.66	$61.66