Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $3,055.00 / $6,483.00	Facility		$1,582.00	$3,055.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,338.22 / $2,154.33	Professional		$111.92	$1,338.22	$2,154.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,038.28 / $1,153.64 / $1,442.05	Professional		$1,038.28	$1,153.64	$1,442.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $175.04 / $286.30	Facility		$47.59	$175.04	$286.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $918.28 / $1,377.41	Professional		$117.09	$918.28	$1,377.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,807.43 / $1,807.43 / $1,807.43	Facility		$1,807.43	$1,807.43	$1,807.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $293.70 / $2,264.01	Professional		$123.51	$293.70	$2,264.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.79 / $1,338.22 / $3,093.00	Facility		$122.79	$1,338.22	$3,093.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.35 / $1,772.37 / $4,581.68	Professional		$1,417.35	$1,772.37	$4,581.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,522.00 / $5,029.00	Facility		$1,424.00	$2,522.00	$5,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,398.73 / $1,669.44 / $2,542.08	Professional		$1,398.73	$1,669.44	$2,542.08