Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,715.35	Professional		$1,905.46	$2,290.87	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,548.13 / $3,715.35	Facility		$3,311.31	$3,548.13	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $5,128.61	Professional		$2,238.72	$2,238.72	$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 / $2,187.76 / $22,387.21	Professional		$1,318.26	$2,187.76	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $3,548.13	Facility		$2,630.27	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,019.95	Professional		$1,479.11	$2,187.76	$3,019.95