Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.14 / $3,683.00 / $18,600.00	Facility		$115.14	$3,683.00	$18,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $93.82 / $115.14	Professional		$52.27	$93.82	$115.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $98.09 / $98.09	Professional		$98.09	$98.09	$98.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.37 / $964.48 / $1,512.73	Facility		$618.37	$964.48	$1,512.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $108.85 / $149.47	Professional		$58.68	$108.85	$149.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $116.74 / $144.38	Professional		$58.94	$116.74	$144.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $122.67 / $1,470.67	Facility		$54.88	$122.67	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $112.24 / $866.64	Professional		$89.79	$112.24	$866.64
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,582.00	Facility		$100.00	$610.00	$1,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $108.96 / $159.22	Professional		$89.79	$108.96	$159.22