Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $5,623.41	Facility		$575.44	$2,290.87	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $407.38	Professional		$107.15	$181.97	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $165.96	Professional		$107.15	$141.25	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,348.96 / $1,995.26	Facility		$416.87	$1,348.96	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $194.98	Professional		$97.72	$128.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $263.03	Professional		$109.65	$151.36	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $3,090.30	Facility		$112.20	$162.18	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,258.93	Professional		$131.83	$173.78	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,786.30	Facility		$1,380.38	$2,041.74	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $208.93	Professional		$104.71	$134.90	$208.93