Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $2,640.00 / $5,370.00	Facility		$393.00	$2,640.00	$5,370.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $118.50 / $551.00	Professional		$66.04	$118.50	$551.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $139.03 / $176.95	Professional		$126.39	$139.03	$176.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.05 / $938.68 / $1,546.44	Facility		$257.05	$938.68	$1,546.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $82.01 / $123.02	Professional		$59.34	$82.01	$123.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.64 / $695.64 / $695.64	Facility		$695.64	$695.64	$695.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $134.47 / $228.68	Professional		$76.69	$134.47	$228.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $135.22 / $1,487.00	Facility		$69.06	$135.22	$1,487.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $154.13 / $542.08	Professional		$118.47	$154.13	$542.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,525.00 / $3,268.00	Facility		$1,068.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $139.46 / $260.25	Professional		$114.88	$139.46	$260.25