Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.96 / $2,688.05 / $21,273.60	Professional		$2,522.96	$2,688.05	$21,273.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.49 / $458.98 / $2,730.10	Professional		$229.49	$458.98	$2,730.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $839.33 / $839.33 / $882.24	Professional	50	$839.33	$839.33	$882.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,805.25 / $7,403.60 / $10,999.58	Facility		$1,805.25	$7,403.60	$10,999.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $569.29 / $2,894.74	Professional		$474.41	$569.29	$2,894.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.82 / $3,356.92 / $13,576.00	Facility		$524.82	$3,356.92	$13,576.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $217.54 / $217.54 / $217.54	Facility	AS	$217.54	$217.54	$217.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,779.78 / $5,241.35 / $13,544.27	Professional		$3,779.78	$5,241.35	$13,544.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,779.78 / $4,965.47 / $7,125.15	Professional		$3,779.78	$4,965.47	$7,125.15