Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.25 / $3,195.12 / $8,604.00	Facility		$905.25	$3,195.12	$8,604.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $314.61 / $793.64	Professional		$230.18	$314.61	$793.64
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $30.66 / $50.82 / $141.57	Professional	AS	$30.66	$50.82	$141.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $227.46 / $406.56	Professional		$212.69	$227.46	$406.56
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $28.93 / $28.93 / $28.93	Professional	AS	$28.93	$28.93	$28.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $378.86 / $378.86	Professional		$322.02	$378.86	$378.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $360.00 / $563.30	Professional		$274.89	$360.00	$563.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.93 / $387.57 / $1,713.00	Facility		$253.93	$387.57	$1,713.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $349.26 / $1,822.88	Professional		$281.77	$349.26	$1,822.88
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $48.70 / $48.70 / $48.70	Professional	AS	$48.70	$48.70	$48.70
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $327.55 / $447.91	Professional		$281.77	$327.55	$447.91