Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,884.00 / $10,439.00	Facility		$2,070.00	$3,884.00	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,661.00 / $5,491.50 / $5,491.50	Facility	50	$3,661.00	$5,491.50	$5,491.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.64 / $1,736.44 / $3,305.69	Professional		$438.64	$1,736.44	$3,305.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $313.29 / $331.85 / $939.88	Professional	50	$313.29	$331.85	$939.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $147.72 / $261.98	Professional		$147.72	$147.72	$261.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $221.60 / $274.02 / $274.02	Professional	50	$221.60	$274.02	$274.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $657.88 / $1,385.50	Facility		$469.00	$657.88	$1,385.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.28 / $516.28 / $2,569.92	Professional		$516.28	$516.28	$2,569.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.29 / $1,414.93 / $3,410.63	Professional		$412.29	$1,414.93	$3,410.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.47 / $2,472.84 / $4,646.93	Facility		$456.47	$2,472.84	$4,646.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,010.55 / $2,966.07 / $14,571.52	Professional		$2,010.55	$2,966.07	$14,571.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $6,170.00 / $12,989.00	Facility		$2,269.00	$6,170.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,938.61 / $2,462.02 / $3,503.64	Professional		$1,938.61	$2,462.02	$3,503.64