Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.91 / $3,104.00 / $6,305.00	Facility		$938.91	$3,104.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.33 / $1,015.26 / $2,220.48	Professional		$755.33	$1,015.26	$2,220.48
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $25.02 / $624.02 / $920.60	Professional	AS	$25.02	$624.02	$920.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,155.71 / $1,155.71 / $1,155.71	Professional		$1,155.71	$1,155.71	$1,155.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $3,106.86 / $5,113.62	Facility		$849.99	$3,106.86	$5,113.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.92 / $832.92 / $1,037.36	Professional		$626.92	$832.92	$1,037.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.66 / $1,041.32 / $1,793.22	Professional		$826.66	$1,041.32	$1,793.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.92 / $1,134.40 / $5,740.00	Facility		$815.92	$1,134.40	$5,740.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $397.38 / $397.38 / $397.38	Facility	AS	$397.38	$397.38	$397.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $946.67 / $1,110.97 / $6,420.24	Professional		$946.67	$1,110.97	$6,420.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,878.00 / $4,545.00 / $7,217.00	Facility		$2,878.00	$4,545.00	$7,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.92 / $1,058.04 / $1,603.06	Professional		$913.92	$1,058.04	$1,603.06