Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,021.00 / $8,400.00	Facility		$1,000.00	$3,021.00	$8,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,427.60 / $1,427.60 / $1,427.60	Facility	50	$1,427.60	$1,427.60	$1,427.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $657.54 / $1,068.25	Professional		$265.48	$657.54	$1,068.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.82 / $227.82 / $307.56	Professional		$227.82	$227.82	$307.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $341.73 / $341.73 / $977.58	Professional	50	$341.73	$341.73	$977.58
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 $244.30 / $823.20 / $1,130.36	Professional		$244.30	$823.20	$1,130.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.56 / $339.56 / $396.67	Facility		$339.56	$339.56	$396.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $429.68 / $1,380.13	Professional		$290.00	$429.68	$1,380.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.74 / $634.00 / $1,801.63	Facility		$321.74	$634.00	$1,801.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.40 / $1,450.83 / $7,304.82	Professional		$797.40	$1,450.83	$7,304.82
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.52 / $974.60 / $1,683.40	Professional		$769.52	$974.60	$1,683.40