Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $6,606.93	Facility		$630.96	$2,454.71	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,630.27 / $4,570.88	Professional		$165.96	$2,630.27	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $2,290.87	Professional		$138.04	$138.04	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $17,782.79 / $28,183.83	Facility		$11,481.54	$17,782.79	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $2,884.03 / $3,981.07	Professional		$199.53	$2,884.03	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $4,677.35	Professional		$186.21	$257.04	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,630.78 / $11,481.54	Facility		$169.82	$3,630.78	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $20,892.96	Professional		$2,691.53	$4,073.80	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,762.47 / $14,125.38	Facility		$1,949.84	$7,762.47	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,187.76 / $4,786.30	Professional		$154.88	$2,187.76	$4,786.30