Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $6,456.54	Facility		$1,000.00	$2,570.40	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $691.83 / $1,174.90	Professional		$190.55	$691.83	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $199.53	Professional		$165.96	$181.97	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $8,912.51	Facility		$3,467.37	$5,495.41	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $870.96 / $1,202.26	Professional		$245.47	$870.96	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $1,148.15	Professional		$234.42	$346.74	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,122.02 / $5,495.41	Facility		$234.42	$1,122.02	$5,495.41
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	52	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	53	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $6,606.93	Professional		$758.58	$1,023.29	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,235.94 / $5,754.40	Facility		$891.25	$3,235.94	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $512.86 / $1,148.15	Professional		$194.98	$512.86	$1,148.15