Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.39 / $7,442.59 / $16,585.00	Facility		$1,594.39	$7,442.59	$16,585.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,818.50 / $11,818.50 / $11,818.50	Facility	50	$11,818.50	$11,818.50	$11,818.50
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,011.56 / $1,011.56 / $1,011.56	Facility	54	$1,011.56	$1,011.56	$1,011.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.34 / $1,348.75 / $1,777.33	Professional		$1,243.34	$1,348.75	$1,777.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,095.58 / $1,393.62 / $1,943.71	Professional		$1,095.58	$1,393.62	$1,943.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,768.65 / $29,430.37 / $45,913.76	Facility		$18,768.65	$29,430.37	$45,913.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.90 / $1,663.10 / $1,809.76	Professional		$1,236.90	$1,663.10	$1,809.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,232.89 / $15,232.89 / $15,232.89	Facility		$15,232.89	$15,232.89	$15,232.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.99 / $1,828.99 / $2,440.98	Professional		$1,369.99	$1,828.99	$2,440.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.75 / $2,043.87 / $20,190.00	Facility		$1,348.75	$2,043.87	$20,190.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $35,560.28 / $35,560.28	Facility	54	$2,273.19	$35,560.28	$35,560.28
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $31,750.25 / $31,750.25	Facility	62	$2,029.64	$31,750.25	$31,750.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $5,080.04 / $5,080.04	Facility	AS	$324.74	$5,080.04	$5,080.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,194.33 / $1,556.58 / $13,550.61	Professional		$1,194.33	$1,556.58	$13,550.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,228.00 / $10,642.00 / $20,423.23	Facility		$3,228.00	$10,642.00	$20,423.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.06 / $1,457.52 / $2,034.64	Professional		$1,132.06	$1,457.52	$2,034.64