Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,890.45 / $9,120.11	Facility		$234.42	$3,890.45	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $309.03	Professional		$107.15	$169.82	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	50	$269.15	$269.15	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Professional		$158.49	$158.49	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $812.83	Facility		$380.19	$512.86	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $239.88	Professional		$151.36	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $331.13	Professional		$123.03	$204.17	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $1,905.46	Facility		$138.04	$245.47	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $1,412.54	Professional		$186.21	$245.47	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $416.87 / $1,778.28	Facility		$173.78	$416.87	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $269.15	Professional		$123.03	$186.21	$269.15