Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $7,585.78	Facility		$549.54	$2,137.96	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,412.54	Professional		$234.42	$389.05	$1,412.54
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $15.49 / $42.66 / $147.91	Professional	AS	$15.49	$42.66	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $331.13	Professional		$213.80	$281.84	$331.13
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $28.84 / $30.20 / $50.12	Professional	AS	$28.84	$30.20	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $22,908.68	Facility		$8,912.51	$13,803.84	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $338.84	Professional		$245.47	$309.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $446.68	Professional		$281.84	$354.81	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $549.54 / $4,168.69	Facility		$234.42	$549.54	$4,168.69
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $389.05 / $724.44 / $724.44	Facility	62	$389.05	$724.44	$724.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.66 / $117.49 / $117.49	Facility	AS	$61.66	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $489.78	Professional		$223.87	$295.12	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $630.96 / $1,659.59	Facility		$138.04	$630.96	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $398.11	Professional		$218.78	$281.84	$398.11