Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.00 / $6,630.55 / $11,600.00	Facility		$1,852.00	$6,630.55	$11,600.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,301.00 / $6,301.00 / $6,301.00	Facility	22	$6,301.00	$6,301.00	$6,301.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.94 / $873.27 / $2,856.00	Professional		$611.94	$873.27	$2,856.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.23 / $693.95 / $1,300.20	Professional		$536.23	$693.95	$1,300.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.00 / $5,909.60 / $10,343.87	Facility		$1,660.00	$5,909.60	$10,343.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.50 / $774.29 / $900.11	Professional		$677.50	$774.29	$900.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.06 / $3,362.23 / $7,941.00	Facility		$2,432.06	$3,362.23	$7,941.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.91 / $790.70 / $1,438.84	Professional		$609.91	$790.70	$1,438.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.86 / $788.58 / $7,104.00	Facility		$630.86	$788.58	$7,104.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,314.07 / $12,302.24 / $12,302.24	Facility	52	$1,314.07	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $328.52 / $3,075.56 / $3,075.56	Facility	53	$328.52	$3,075.56	$3,075.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $164.26 / $1,537.78 / $1,537.78	Facility	AS	$164.26	$1,537.78	$1,537.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.88 / $773.22 / $4,971.47	Professional		$605.88	$773.22	$4,971.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,104.00 / $11,396.00	Facility		$4,100.00	$7,104.00	$11,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.89 / $742.17 / $1,270.00	Professional		$594.89	$742.17	$1,270.00