Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $27,542.29	Facility		$2,691.53	$7,762.47	$27,542.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $10,471.29 / $24,547.09	Facility	50	$2,818.38	$10,471.29	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,348.96 / $3,162.28	Professional		$354.81	$1,348.96	$3,162.28
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $239.88 / $758.58	Professional	AS	$158.49	$239.88	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,047.13 / $1,548.82	Professional		$147.91	$1,047.13	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $15,848.93 / $16,218.10	Facility		$13,803.84	$15,848.93	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $12,882.50 / $12,882.50	Facility		$630.96	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,818.38	Professional		$1,348.96	$1,905.46	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $23,988.33	Facility		$1,318.26	$2,344.23	$23,988.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $11,220.18	Professional		$1,380.38	$1,862.09	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,471.29 / $18,620.87	Facility		$3,311.31	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,344.23	Professional		$1,348.96	$1,698.24	$2,344.23