Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,218.00 / $8,400.00	Facility		$1,000.00	$3,218.00	$8,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,365.50 / $1,365.50 / $37,479.37	Facility	50	$1,365.50	$1,365.50	$37,479.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $1,200.83 / $1,953.29	Professional		$313.77	$1,200.83	$1,953.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $404.22 / $404.22 / $404.22	Professional		$404.22	$404.22	$404.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $606.33 / $606.33 / $606.33	Professional	50	$606.33	$606.33	$606.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,646.01 / $4,944.21 / $7,161.81	Facility		$3,646.01	$4,944.21	$7,161.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $1,558.55 / $2,140.11	Professional		$307.30	$1,558.55	$2,140.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.78 / $474.78 / $474.78	Facility		$474.78	$474.78	$474.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $510.39 / $2,380.30	Professional		$347.32	$510.39	$2,380.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.72 / $2,013.87 / $8,072.00	Facility		$407.72	$2,013.87	$8,072.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,636.80 / $4,636.80 / $4,636.80	Facility	50	$4,636.80	$4,636.80	$4,636.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,432.69 / $2,089.35 / $12,114.16	Professional		$1,432.69	$2,089.35	$12,114.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $6,980.00 / $13,541.98	Facility		$1,851.00	$6,980.00	$13,541.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,418.53 / $1,764.34 / $3,025.12	Professional		$1,418.53	$1,764.34	$3,025.12