Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,633.00 / $6,483.00	Facility		$936.00	$2,633.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $472.50 / $910.81	Professional		$307.49	$472.50	$910.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $357.86 / $357.86	Professional		$354.08	$357.86	$357.86
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 $319.30 / $381.26 / $443.21	Professional		$319.30	$381.26	$443.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,188.66 / $1,571.83 / $2,575.42	Facility		$1,188.66	$1,571.83	$2,575.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $416.05 / $765.68	Professional		$318.08	$416.05	$765.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $395.07 / $2,109.00	Facility		$301.83	$395.07	$2,109.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $670.91 / $6,012.68 / $6,012.68	Facility	52	$670.91	$6,012.68	$6,012.68
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $167.73 / $1,503.17 / $1,503.17	Facility	53	$167.73	$1,503.17	$1,503.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $406.30 / $2,445.36	Professional		$307.20	$406.30	$2,445.36
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,499.00 / $4,486.00	Facility		$966.00	$2,499.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $376.58 / $634.66	Professional		$307.20	$376.58	$634.66