Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,456.54 / $23,988.33	Facility		$1,905.46	$6,456.54	$23,988.33
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	22	$7,585.78	$7,585.78	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $12,882.50 / $26,302.68	Facility	50	$12,882.50	$12,882.50	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $5,623.41	Professional		$1,148.15	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $151.36 / $229.09 / $724.44	Professional	AS	$151.36	$229.09	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,148.15 / $1,584.89	Professional		$158.49	$1,148.15	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $27,542.29 / $43,651.58	Facility		$17,378.01	$27,542.29	$43,651.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,698.24	Professional		$1,230.27	$1,548.82	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,570.40	Professional		$1,380.38	$1,949.84	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $20,417.38	Facility		$1,348.96	$4,168.69	$20,417.38
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	22	$6,456.54	$6,456.54	$6,456.54
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 $1,202.26 / $1,584.89 / $11,220.18	Professional		$1,202.26	$1,584.89	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,748.98 / $20,892.96	Facility		$3,467.37	$11,748.98	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,995.26	Professional		$1,122.02	$1,445.44	$1,995.26