Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.50 / $2,444.00 / $7,500.00	Facility		$551.50	$2,444.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $269.63 / $328.55	Professional		$230.18	$269.63	$328.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $276.92 / $355.97	Professional		$212.69	$276.92	$355.97
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $33.51 / $33.51 / $33.51	Professional	AS	$33.51	$33.51	$33.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,444.76 / $15,084.81 / $23,838.74	Facility		$9,444.76	$15,084.81	$23,838.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $333.18 / $351.17	Professional		$247.80	$333.18	$351.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.22 / $347.13 / $443.47	Professional		$272.22	$347.13	$443.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.65 / $362.55 / $4,126.00	Facility		$240.65	$362.55	$4,126.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $732.30 / $732.30	Facility	62	$384.88	$732.30	$732.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $117.17 / $117.17	Facility	AS	$61.58	$117.17	$117.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $298.52 / $486.33	Professional		$230.68	$298.52	$486.33
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $285.70 / $404.91	Professional		$217.11	$285.70	$404.91