Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $4,521.00 / $8,447.00	Facility		$1,965.00	$4,521.00	$8,447.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $653.37 / $1,222.50	Professional		$519.99	$653.37	$1,222.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $981.92 / $5,321.23	Professional	50	$733.32	$981.92	$5,321.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $843.12 / $843.12 / $843.12	Professional	50	$843.12	$843.12	$843.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.45 / $3,228.01 / $5,113.62	Facility		$830.45	$3,228.01	$5,113.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.50 / $572.07 / $673.02	Professional		$500.50	$572.07	$673.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $775.00 / $858.00	Facility		$775.00	$775.00	$858.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.01 / $696.49 / $1,427.44	Professional		$515.01	$696.49	$1,427.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.60 / $1,084.42 / $4,169.04	Facility		$563.60	$1,084.42	$4,169.04
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,788.20 / $3,788.20 / $3,788.20	Facility	50	$3,788.20	$3,788.20	$3,788.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.55 / $732.20 / $7,208.00	Professional		$583.55	$732.20	$7,208.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $830.92 / $830.92 / $830.92	Professional	50	$830.92	$830.92	$830.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $3,339.00 / $5,838.00	Facility		$2,286.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.16 / $732.20 / $1,406.78	Professional		$569.16	$732.20	$1,406.78