Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,630.78	Professional		$1,905.46	$2,290.87	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,548.13	Professional		$2,454.71	$3,162.28	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,168.69	Facility		$3,890.45	$4,073.80	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,128.61	Professional		$1,778.28	$1,778.28	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $9,772.37	Facility		$1,258.93	$3,090.30	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $21,877.62	Professional		$1,318.26	$2,344.23	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $3,467.37	Facility		$2,630.27	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,019.95	Professional		$1,445.44	$2,187.76	$3,019.95