Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $8,317.64	Facility		$2,089.30	$4,365.16	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $4,786.30	Professional		$1,288.25	$1,778.28	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $7,943.28	Facility		$1,659.59	$5,370.32	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,715.35	Professional		$1,698.24	$1,995.26	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,951.21	Professional		$1,258.93	$1,698.24	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $8,128.31	Facility		$1,348.96	$1,995.26	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $15,848.93	Professional		$1,258.93	$1,737.80	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $8,709.64	Facility		$4,365.16	$5,495.41	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,570.40	Professional		$1,202.26	$1,479.11	$2,570.40