Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,137.96 / $5,623.41	Facility		$114.82	$2,137.96	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $57.54 / $181.97	Professional		$15.14	$57.54	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $60.26 / $93.33	Professional		$15.14	$60.26	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $141.25 / $208.93	Facility		$43.65	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $43.65 / $75.86	Professional		$12.59	$43.65	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $39.81 / $91.20	Professional		$15.49	$39.81	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $64.57 / $1,862.09	Facility		$14.79	$64.57	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $524.81	Professional		$41.69	$64.57	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,202.26 / $2,187.76	Facility		$169.82	$1,202.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.02 / $69.18	Professional		$14.79	$38.02	$69.18