Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $7,762.47	Facility		$1,737.80	$3,890.45	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $4,466.84 / $8,709.64	Facility	50	$912.01	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $794.33	Professional		$138.04	$199.53	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $501.19 / $1,202.26	Professional	50	$229.09	$501.19	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $223.87	Professional		$141.25	$154.88	$223.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $234.42 / $380.19	Professional	50	$213.80	$234.42	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,019.95	Facility		$630.96	$2,041.74	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $446.68	Professional		$141.25	$158.49	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $331.13	Professional		$151.36	$194.98	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $3,715.35	Facility		$162.18	$251.19	$3,715.35
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	50	$5,011.87	$5,011.87	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $1,445.44	Professional		$141.25	$186.21	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $4,786.30	Facility		$1,258.93	$2,041.74	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $316.23	Professional		$138.04	$169.82	$316.23