Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.04 / $1,067.04 / $16,810.30	Facility		$1,067.04	$1,067.04	$16,810.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,700.69 / $3,700.69 / $79,555.60	Professional		$3,700.69	$3,700.69	$79,555.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,102.13 / $1,102.13 / $8,509.14	Professional		$1,102.13	$1,102.13	$8,509.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,709.75 / $11,510.53 / $20,775.47	Facility		$3,709.75	$11,510.53	$20,775.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.28 / $1,238.28 / $18,535.93	Professional		$1,238.28	$1,238.28	$18,535.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,991.00 / $27,117.42	Facility		$55.00	$7,991.00	$27,117.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $14,891.29 / $21,885.67 / $80,423.03	Professional		$14,891.29	$21,885.67	$80,423.03
United Facility/Professional Facility Modifier Low / Median / High Price $20,137.84 / $20,137.84 / $33,428.83	Facility		$20,137.84	$20,137.84	$33,428.83
United Facility/Professional Professional Modifier Low / Median / High Price $14,891.29 / $20,573.96 / $28,775.61	Professional		$14,891.29	$20,573.96	$28,775.61