Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $7,762.47	Professional		$1,548.82	$2,041.74	$7,762.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,019.95	Professional		$1,995.26	$2,691.53	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,398.83 / $5,011.87	Facility		$1,023.29	$2,398.83	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $7,585.78	Professional		$3,019.95	$3,890.45	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,137.96	Professional		$1,584.89	$1,584.89	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,630.27 / $18,197.01	Facility		$1,122.02	$2,630.27	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $19,498.45	Professional		$1,548.82	$1,737.80	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $3,162.28	Facility		$1,318.26	$2,630.27	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,570.40	Professional		$1,548.82	$1,737.80	$2,570.40