Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.50 / $1,750.00 / $8,101.00	Facility		$204.50	$1,750.00	$8,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $130.33 / $204.50	Professional		$89.80	$130.33	$204.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $74.03 / $74.03	Professional		$74.03	$74.03	$74.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $487.91 / $1,075.65	Facility		$220.00	$487.91	$1,075.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $126.26 / $187.87	Professional		$107.32	$126.26	$187.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $159.72 / $229.28	Professional		$110.16	$159.72	$229.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $150.54 / $797.00	Facility		$76.33	$150.54	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $175.49 / $1,134.88	Professional		$146.29	$175.49	$1,134.88
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $155.55 / $220.92	Professional		$132.22	$155.55	$220.92