Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $265.77 / $553.69	Professional		$265.77	$265.77	$553.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $664.43 / $664.43 / $664.43	Professional	50	$664.43	$664.43	$664.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,405.80 / $21,297.08 / $33,836.48	Facility		$13,405.80	$21,297.08	$33,836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.08 / $3,385.20 / $4,953.03	Professional		$553.08	$3,385.20	$4,953.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.21 / $4,224.58 / $18,958.34	Facility		$609.21	$4,224.58	$18,958.34
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 $3,410.27 / $5,477.54 / $23,107.71	Professional		$3,410.27	$5,477.54	$23,107.71
United Facility/Professional Facility Modifier Low / Median / High Price $14,358.19 / $14,358.19 / $15,606.73	Facility		$14,358.19	$14,358.19	$15,606.73
United Facility/Professional Professional Modifier Low / Median / High Price $3,209.66 / $4,875.85 / $6,758.57	Professional		$3,209.66	$4,875.85	$6,758.57