Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,145.00 / $8,400.00	Facility		$1,000.00	$3,145.00	$8,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,300.50 / $2,300.50 / $2,300.50	Facility	50	$2,300.50	$2,300.50	$2,300.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,156.89 / $1,855.24	Professional		$284.02	$1,156.89	$1,855.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.91 / $200.91 / $200.91	Professional		$200.91	$200.91	$200.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $301.36 / $301.36 / $301.36	Professional	50	$301.36	$301.36	$301.36
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 $305.55 / $917.50 / $2,030.05	Professional		$305.55	$917.50	$2,030.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.11 / $473.11 / $473.11	Facility		$473.11	$473.11	$473.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $508.50 / $2,298.75	Professional		$345.26	$508.50	$2,298.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.55 / $1,912.76 / $4,830.00	Facility		$405.55	$1,912.76	$4,830.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,373.66 / $2,052.60 / $11,504.00	Professional		$1,373.66	$2,052.60	$11,504.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,054.00 / $7,077.94	Facility		$1,157.00	$4,054.00	$7,077.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.23 / $1,751.42 / $2,900.48	Professional		$1,366.23	$1,751.42	$2,900.48