Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.23 / $4,516.00 / $10,439.00	Facility		$1,419.23	$4,516.00	$10,439.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $32.83 / $32.83 / $32.83	Facility	22	$32.83	$32.83	$32.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,122.54 / $1,687.41	Professional		$931.51	$1,122.54	$1,687.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $963.09 / $1,444.64	Professional		$149.66	$963.09	$1,444.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,988.95 / $6,244.73 / $7,949.70	Facility		$4,988.95	$6,244.73	$7,949.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.15 / $1,621.35 / $1,621.35	Professional		$1,378.15	$1,621.35	$1,621.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $11,961.00 / $11,961.00	Facility		$710.00	$11,961.00	$11,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.70 / $1,421.62 / $2,155.73	Professional		$1,117.70	$1,421.62	$2,155.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,081.47 / $1,697.27 / $11,642.00	Facility		$1,081.47	$1,697.27	$11,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,113.83 / $1,396.35 / $7,887.28	Professional		$1,113.83	$1,396.35	$7,887.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $6,407.00 / $12,224.00	Facility		$2,269.00	$6,407.00	$12,224.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.49 / $1,322.82 / $1,863.39	Professional		$1,108.49	$1,322.82	$1,863.39