Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,933.00 / $6,329.00	Facility		$1,170.00	$2,933.00	$6,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $2,597.60 / $8,812.50	Professional		$100.25	$2,597.60	$8,812.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,107.80 / $1,107.80 / $1,107.80	Professional		$1,107.80	$1,107.80	$1,107.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,541.29 / $2,700.74	Facility		$412.80	$1,541.29	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $384.00 / $446.40	Professional		$336.00	$384.00	$446.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $2,109.00 / $4,486.00	Facility		$764.00	$2,109.00	$4,486.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,216.80 / $1,216.80 / $3,335.23	Professional		$1,216.80	$1,216.80	$3,335.23
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,517.00 / $4,486.00	Facility		$966.00	$2,517.00	$4,486.00