Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,041.74	Professional		$1,071.52	$1,174.90	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,995.26	Professional		$1,288.25	$1,621.81	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,862.09	Professional		$1,174.90	$1,513.56	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $6,025.60	Facility		$501.19	$1,584.89	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $10,000.00	Professional		$1,174.90	$1,479.11	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,949.84 / $6,025.60	Facility		$489.78	$1,949.84	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,737.80	Professional		$1,096.48	$1,348.96	$1,737.80