Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,089.30 / $11,748.98	Facility		$169.82	$2,089.30	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $346.74	Professional		$104.71	$147.91	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $199.53	Professional		$107.15	$120.23	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,445.44	Facility		$575.44	$912.01	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $223.87	Professional		$114.82	$162.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $239.88	Professional		$120.23	$181.97	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $3,235.94	Facility		$117.49	$186.21	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $1,258.93	Professional		$141.25	$173.78	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $3,801.89	Facility		$575.44	$1,995.26	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $190.55	Professional		$102.33	$141.25	$190.55