Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $4,536.00 / $8,778.10	Facility		$1,282.00	$4,536.00	$8,778.10
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $100.01 / $111.05 / $331.91	Facility	53	$100.01	$111.05	$331.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $567.52 / $1,659.54	Professional		$318.47	$567.52	$1,659.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $339.34 / $516.10	Professional		$274.43	$339.34	$516.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.32 / $2,718.92 / $3,585.46	Facility		$1,047.32	$2,718.92	$3,585.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.98 / $782.98 / $1,683.60	Professional		$782.98	$782.98	$1,683.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $958.36 / $2,029.00	Professional		$394.94	$958.36	$2,029.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.35 / $1,755.31 / $8,348.00	Facility		$533.35	$1,755.31	$8,348.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,111.50 / $1,700.81 / $7,664.36	Professional		$1,111.50	$1,700.81	$7,664.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,589.82 / $3,647.00 / $6,239.00	Facility		$1,589.82	$3,647.00	$6,239.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.22 / $1,635.19 / $2,252.50	Professional		$1,075.22	$1,635.19	$2,252.50