Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,128.31 / $18,620.87	Facility		$1,905.46	$8,128.31	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $8,709.64 / $20,417.38	Facility	50	$2,818.38	$8,709.64	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,949.84 / $12,589.25	Professional		$575.44	$1,949.84	$12,589.25
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $323.59 / $977.24	Professional	AS	$162.18	$323.59	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,122.02 / $1,698.24	Professional		$151.36	$1,122.02	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,964.78 / $21,379.62	Facility		$2,344.23	$10,964.78	$21,379.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,818.38	Professional		$1,412.54	$1,905.46	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $194.98 / $263.03 / $389.05	Professional	AS	$194.98	$263.03	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $12,302.69 / $14,791.08	Facility		$5,888.44	$12,302.69	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,884.03	Professional		$1,258.93	$1,819.70	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $33,884.42	Facility		$1,288.25	$2,344.23	$33,884.42
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,290.87 / $34,673.69 / $34,673.69	Facility	54	$2,290.87	$34,673.69	$34,673.69
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $323.59 / $5,011.87 / $5,011.87	Facility	AS	$323.59	$5,011.87	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $11,220.18	Professional		$1,288.25	$1,949.84	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $20,417.38	Facility		$3,162.28	$6,025.60	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,570.40	Professional		$1,202.26	$1,698.24	$2,570.40