Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.38 / $1,542.38 / $1,542.38	Facility		$1,542.38	$1,542.38	$1,542.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.38 / $1,542.38 / $1,762.72	Professional		$1,542.38	$1,542.38	$1,762.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,055.55 / $3,055.55 / $3,594.77	Professional		$3,055.55	$3,055.55	$3,594.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,566.42 / $3,147.71 / $3,147.71	Professional		$2,566.42	$3,147.71	$3,147.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $2,670.40	Professional		$1,576.85	$2,160.07	$2,670.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $2,159.03 / $18,029.93	Facility		$1,113.38	$2,159.03	$18,029.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,149.74 / $2,278.96 / $3,639.06	Professional		$1,149.74	$2,278.96	$3,639.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.74 / $1,724.61 / $2,597.88	Professional		$1,149.74	$1,724.61	$2,597.88