Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $9,772.37	Facility		$1,380.38	$3,890.45	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,570.40	Professional		$954.99	$1,122.02	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $22,387.21	Facility		$8,912.51	$13,803.84	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,348.96	Professional		$977.24	$1,230.27	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,479.11	Professional		$1,000.00	$1,230.27	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $12,589.25	Facility		$1,122.02	$3,981.07	$12,589.25
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	52	$12,589.25	$12,589.25	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $7,585.78	Professional		$870.96	$1,174.90	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,754.40 / $10,715.19	Facility		$1,621.81	$5,754.40	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,621.81	Professional		$831.76	$1,023.29	$1,621.81