Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,978.00 / $7,656.95 / $20,345.00	Facility		$2,978.00	$7,656.95	$20,345.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,832.88 / $9,486.00 / $43,917.37	Facility	50	$2,832.88	$9,486.00	$43,917.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,165.95 / $1,165.95 / $1,512.34	Facility	54	$1,165.95	$1,165.95	$1,512.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.89 / $1,329.32 / $2,016.45	Professional		$1,151.89	$1,329.32	$2,016.45
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $585.77 / $585.77 / $750.14	Professional	AS	$585.77	$585.77	$750.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $1,258.44 / $2,012.74	Professional		$195.82	$1,258.44	$2,012.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,705.74 / $14,527.00 / $19,495.91	Facility		$11,705.74	$14,527.00	$19,495.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,114.80 / $2,488.00 / $2,488.00	Professional		$2,114.80	$2,488.00	$2,488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $12,890.00 / $12,890.00	Facility		$624.00	$12,890.00	$12,890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.92 / $1,929.78 / $2,829.67	Professional		$1,370.92	$1,929.78	$2,829.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,295.50 / $2,237.80 / $23,953.30	Facility		$1,295.50	$2,237.80	$23,953.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.91 / $1,837.25 / $11,316.67	Professional		$1,441.91	$1,837.25	$11,316.67
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 $1,434.98 / $1,695.92 / $2,414.09	Professional		$1,434.98	$1,695.92	$2,414.09