Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $8,317.64	Facility		$2,187.76	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $4,073.80	Professional		$1,230.27	$1,659.59	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,548.82	Professional		$1,047.13	$1,202.26	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $5,888.44	Facility		$1,230.27	$3,981.07	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $2,398.83	Professional		$1,174.90	$1,258.93	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,019.95	Professional		$1,174.90	$1,548.82	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,570.88 / $8,128.31	Facility		$1,348.96	$4,570.88	$8,128.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $1,412.54	Facility	AS	$338.84	$338.84	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $11,481.54	Professional		$1,230.27	$1,621.81	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $8,709.64	Facility		$4,073.80	$5,623.41	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,511.89	Professional		$1,202.26	$1,445.44	$2,511.89