Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $3,569.00 / $10,439.00	Facility		$1,495.00	$3,569.00	$10,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $73.67 / $109.39	Professional		$68.70	$73.67	$109.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $77.64 / $77.64	Professional		$77.64	$77.64	$77.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,678.00 / $2,350.44 / $3,726.84	Facility		$1,678.00	$2,350.44	$3,726.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $175.71 / $175.71	Professional		$149.35	$175.71	$175.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $115.58 / $384.00	Professional		$73.16	$115.58	$384.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $109.91 / $3,986.00	Facility		$55.00	$109.91	$3,986.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $107.21 / $1,995.00	Professional		$81.36	$107.21	$1,995.00
United Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $1,743.00 / $8,198.00	Facility		$783.00	$1,743.00	$8,198.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $95.65 / $144.27	Professional		$78.41	$95.65	$144.27