Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $3,779.00 / $12,600.00	Facility		$957.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $463.17 / $567.69	Professional		$379.91	$463.17	$567.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $277.95 / $277.95	Professional		$277.95	$277.95	$277.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,554.74 / $5,647.22 / $8,922.54	Facility		$3,554.74	$5,647.22	$8,922.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.45 / $568.01 / $655.86	Professional		$422.45	$568.01	$655.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.38 / $567.91 / $697.69	Professional		$442.38	$567.91	$697.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.17 / $640.00 / $4,132.00	Facility		$463.17	$640.00	$4,132.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $502.28 / $4,047.02	Professional		$389.59	$502.28	$4,047.02
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,990.00 / $4,012.00	Facility		$575.00	$1,990.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.67 / $458.34 / $655.97	Professional		$366.67	$458.34	$655.97