Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.00 / $8,536.74 / $20,148.75	Facility		$2,720.00	$8,536.74	$20,148.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $25,038.00 / $25,038.00 / $25,038.00	Facility	50	$25,038.00	$25,038.00	$25,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,397.85 / $5,877.00	Professional		$1,166.59	$1,397.85	$5,877.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $40.00 / $748.27 / $1,075.73	Professional	AS	$40.00	$748.27	$1,075.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $1,535.00 / $2,530.91	Professional		$167.01	$1,535.00	$2,530.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,610.50 / $13,060.05 / $21,721.10	Facility		$3,610.50	$13,060.05	$21,721.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.33 / $1,734.47 / $2,081.36	Professional		$1,372.33	$1,734.47	$2,081.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.45 / $1,644.49 / $2,606.71	Professional		$1,209.45	$1,644.49	$2,606.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.00 / $1,668.24 / $16,791.00	Facility		$1,228.00	$1,668.24	$16,791.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $2,273.19 / $35,560.28	Facility	54	$2,273.19	$2,273.19	$35,560.28
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $2,029.64 / $31,750.25	Facility	62	$2,029.64	$2,029.64	$31,750.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $324.74 / $5,080.04	Facility	AS	$324.74	$324.74	$5,080.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,215.50 / $1,543.52 / $13,550.61	Professional		$1,215.50	$1,543.52	$13,550.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,560.00 / $10,575.00 / $22,633.00	Facility		$3,560.00	$10,575.00	$22,633.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.18 / $1,411.56 / $2,594.92	Professional		$1,207.18	$1,411.56	$2,594.92