Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.52 / $3,742.00 / $12,600.00	Facility		$547.52	$3,742.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $444.62 / $547.52	Professional		$336.93	$444.62	$547.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $335.35 / $553.41	Professional		$167.68	$335.35	$553.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,726.17 / $7,392.01 / $11,593.95	Facility		$4,726.17	$7,392.01	$11,593.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $503.30 / $691.10	Professional		$362.70	$503.30	$691.10
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 $373.80 / $498.30 / $753.18	Professional		$373.80	$498.30	$753.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.23 / $597.96 / $4,232.60	Facility		$391.23	$597.96	$4,232.60
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $177.12 / $177.12	Facility	AS	$177.12	$177.12	$177.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.45 / $564.28 / $3,979.84	Professional		$433.45	$564.28	$3,979.84
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 $423.70 / $525.60 / $772.45	Professional		$423.70	$525.60	$772.45