Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $2,933.00 / $6,483.00	Facility		$1,582.00	$2,933.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $552.51 / $1,057.45	Professional		$295.18	$552.51	$1,057.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $547.23 / $608.03 / $851.24	Professional		$547.23	$608.03	$851.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.54 / $395.12 / $612.44	Professional		$260.54	$395.12	$612.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $561.36 / $842.04	Professional		$296.22	$561.36	$842.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $608.03 / $1,478.96	Facility		$299.66	$608.03	$1,478.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $618.10 / $2,418.02	Professional		$540.00	$618.10	$2,418.02
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,326.00	Facility		$704.00	$1,535.00	$2,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.14 / $600.01 / $844.81	Professional		$512.14	$600.01	$844.81