Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $5,495.41	Professional		$870.96	$1,122.02	$5,495.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,230.27 / $2,570.40	Facility		$537.03	$1,230.27	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,890.45	Professional		$1,548.82	$2,041.74	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,380.38	Professional		$1,000.00	$1,000.00	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $10,232.93	Facility		$660.69	$1,380.38	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $12,302.69	Professional		$912.01	$1,023.29	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $1,621.81	Facility		$794.33	$1,584.89	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,548.82	Professional		$912.01	$1,023.29	$1,548.82