Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,506.00 / $8,604.00 / $26,281.00	Facility		$3,506.00	$8,604.00	$26,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,798.00 / $6,798.00 / $6,798.00	Facility	50	$6,798.00	$6,798.00	$6,798.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,167.13 / $1,167.13 / $1,513.73	Facility	54	$1,167.13	$1,167.13	$1,513.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.55 / $1,348.75 / $2,073.00	Professional		$1,159.55	$1,348.75	$2,073.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $232.64 / $547.76 / $547.76	Professional	AS	$232.64	$547.76	$547.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $1,259.91 / $1,845.82	Professional		$156.84	$1,259.91	$1,845.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,186.64 / $18,000.00 / $45,653.40	Facility		$14,186.64	$18,000.00	$45,653.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,047.65 / $2,409.00 / $2,409.00	Professional		$2,047.65	$2,409.00	$2,409.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $16,144.00 / $16,144.00	Facility		$624.00	$16,144.00	$16,144.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.31 / $1,900.39 / $2,798.65	Professional		$1,372.31	$1,900.39	$2,798.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,296.81 / $2,114.62 / $23,953.30	Facility		$1,296.81	$2,114.62	$23,953.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,435.33 / $1,766.13 / $13,550.61	Professional		$1,435.33	$1,766.13	$13,550.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,894.00 / $10,300.00 / $24,722.00	Facility		$2,894.00	$10,300.00	$24,722.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.33 / $1,698.57 / $2,276.59	Professional		$1,435.33	$1,698.57	$2,276.59