Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.00 / $8,104.00 / $21,437.46	Facility		$3,095.00	$8,104.00	$21,437.46
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,057.00 / $6,057.00 / $6,057.00	Facility	22	$6,057.00	$6,057.00	$6,057.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,556.50 / $9,702.00 / $21,497.00	Facility	50	$9,556.50	$9,702.00	$21,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.85 / $1,409.17 / $6,198.00	Professional		$1,147.85	$1,409.17	$6,198.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $180.50 / $789.07 / $1,103.32	Professional	AS	$180.50	$789.07	$1,103.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $1,533.08 / $2,527.73	Professional		$166.80	$1,533.08	$2,527.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,610.50 / $13,035.15 / $21,721.10	Facility		$3,610.50	$13,035.15	$21,721.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.59 / $1,732.28 / $2,074.92	Professional		$1,370.59	$1,732.28	$2,074.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.21 / $1,695.50 / $2,668.02	Professional		$1,211.21	$1,695.50	$2,668.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.46 / $1,771.48 / $16,841.00	Facility		$1,226.46	$1,771.48	$16,841.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,270.53 / $2,270.53 / $34,832.28	Facility	54	$2,270.53	$2,270.53	$34,832.28
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.36 / $324.36 / $4,976.04	Facility	AS	$324.36	$324.36	$4,976.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,251.53 / $1,620.24 / $11,316.67	Professional		$1,251.53	$1,620.24	$11,316.67
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 $1,213.96 / $1,488.07 / $2,712.96	Professional		$1,213.96	$1,488.07	$2,712.96