Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $3,684.00 / $12,600.00	Facility		$957.00	$3,684.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.30 / $461.87 / $518.38	Professional		$334.30	$461.87	$518.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $428.79 / $428.79	Professional		$428.79	$428.79	$428.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.36 / $2,366.61 / $3,711.90	Facility		$1,517.36	$2,366.61	$3,711.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.71 / $484.34 / $657.46	Professional		$335.71	$484.34	$657.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.93 / $557.67 / $755.13	Professional		$384.93	$557.67	$755.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.30 / $525.04 / $1,883.00	Facility		$334.30	$525.04	$1,883.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $550.37 / $3,692.48	Professional		$440.51	$550.37	$3,692.48
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $518.25 / $742.29	Professional		$414.60	$518.25	$742.29