Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,235.94 / $9,549.93	Facility		$1,000.00	$3,235.94	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $4,365.16 / $39,810.72	Facility	50	$2,238.72	$4,365.16	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,174.90 / $2,511.89	Professional		$309.03	$1,174.90	$2,511.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $1,258.93 / $3,388.44	Professional	50	$263.03	$1,258.93	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $467.74	Professional	50	$223.87	$223.87	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $7,244.36	Facility		$3,630.78	$5,370.32	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,905.46 / $2,570.40	Professional		$338.84	$1,905.46	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $2,754.23	Professional		$371.54	$616.60	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,715.19	Facility		$446.68	$2,511.89	$10,715.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $14,454.40	Professional		$1,698.24	$2,290.87	$14,454.40
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	50	$467.74	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $14,125.38	Facility		$1,949.84	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,412.54 / $2,754.23	Professional		$346.74	$1,412.54	$2,754.23