Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.10 / $3,885.00 / $12,154.00	Facility		$916.10	$3,885.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.07 / $807.26 / $1,317.23	Professional		$509.07	$807.26	$1,317.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.40 / $442.40 / $463.68	Professional		$442.40	$442.40	$463.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.10 / $3,203.61 / $4,532.06	Facility		$1,461.10	$3,203.61	$4,532.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $741.60 / $1,086.39	Professional		$630.36	$741.60	$1,086.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.71 / $888.60 / $1,510.65	Professional		$538.71	$888.60	$1,510.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $937.78 / $3,963.00	Facility		$529.64	$937.78	$3,963.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.85 / $1,074.04 / $6,209.44	Professional		$744.85	$1,074.04	$6,209.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $3,946.00 / $6,988.00	Facility		$1,779.00	$3,946.00	$6,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.19 / $981.57 / $1,382.73	Professional		$724.19	$981.57	$1,382.73