Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $3,683.00 / $12,600.00	Facility		$957.00	$3,683.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $464.23 / $621.23	Professional		$464.23	$464.23	$621.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $479.73 / $479.73 / $479.73	Professional		$479.73	$479.73	$479.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.27 / $6,183.01 / $9,729.79	Facility		$3,966.27	$6,183.01	$9,729.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.45 / $568.01 / $694.14	Professional		$422.45	$568.01	$694.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.75 / $583.28 / $684.01	Professional		$446.75	$583.28	$684.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.23 / $739.00 / $5,882.00	Facility		$464.23	$739.00	$5,882.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.15 / $571.47 / $3,228.96	Professional		$413.15	$571.47	$3,228.96
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $504.97 / $757.45	Professional		$381.02	$504.97	$757.45