Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.86 / $1,710.00 / $7,655.25	Facility		$491.86	$1,710.00	$7,655.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $341.67 / $2,004.00	Professional		$230.18	$341.67	$2,004.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $48.38 / $157.60 / $397.69	Professional	AS	$48.38	$157.60	$397.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $314.99 / $387.68	Professional		$242.30	$314.99	$387.68
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $32.96 / $39.15 / $57.87	Professional	AS	$32.96	$39.15	$57.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.40 / $3,300.84 / $5,432.89	Facility		$830.40	$3,300.84	$5,432.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $285.54 / $356.92	Professional		$249.84	$285.54	$356.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $334.52 / $502.44	Professional		$238.66	$334.52	$502.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.69 / $339.22 / $1,944.00	Facility		$241.69	$339.22	$1,944.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $384.88 / $732.30	Facility	62	$384.88	$384.88	$732.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $61.58 / $117.17	Facility	AS	$61.58	$61.58	$117.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $305.60 / $1,822.88	Professional		$236.84	$305.60	$1,822.88
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,537.00 / $2,428.00	Facility		$716.00	$1,537.00	$2,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $275.04 / $542.78	Professional		$233.12	$275.04	$542.78