Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,652.00 / $7,001.95	Facility		$800.00	$2,652.00	$7,001.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,413.50 / $2,413.50 / $3,702.20	Facility	50	$2,413.50	$2,413.50	$3,702.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $1,185.90 / $1,816.24	Professional		$316.07	$1,185.90	$1,816.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $1,851.26	Professional		$159.19	$159.19	$1,851.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,654.12 / $1,654.12 / $1,654.12	Professional	50	$1,654.12	$1,654.12	$1,654.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,681.52 / $4,944.21 / $7,161.81	Facility		$3,681.52	$4,944.21	$7,161.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $1,426.25 / $1,958.45	Professional		$290.50	$1,426.25	$1,958.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.38 / $404.38 / $472.14	Facility		$404.38	$404.38	$472.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $511.70 / $2,332.42	Professional		$319.77	$511.70	$2,332.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.81 / $637.79 / $2,784.55	Facility		$380.81	$637.79	$2,784.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,357.33 / $2,442.83 / $11,617.10	Professional		$1,357.33	$2,442.83	$11,617.10
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $634.00 / $1,883.00	Facility		$139.00	$634.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.13 / $1,794.17 / $2,866.00	Professional		$1,326.13	$1,794.17	$2,866.00