Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,570.88 / $9,120.11	Facility		$234.42	$4,570.88	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $4,365.16 / $8,511.38	Facility	50	$954.99	$4,365.16	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $354.81	Professional		$131.83	$169.82	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $363.08 / $426.58	Professional	50	$151.36	$363.08	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $165.96	Professional		$123.03	$134.90	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $218.78 / $302.00	Professional	50	$125.89	$218.78	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Facility		$1,479.11	$1,778.28	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $331.13	Professional		$158.49	$213.80	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $831.76 / $26,302.68	Facility		$169.82	$831.76	$26,302.68
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,513.56	Facility	50	$1,148.15	$1,148.15	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $1,445.44	Professional		$158.49	$199.53	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $3,311.31	Facility		$1,023.29	$1,230.27	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $251.19	Professional		$158.49	$186.21	$251.19