Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $1,965.00 / $5,506.00	Facility		$190.10	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $93.74 / $253.50	Professional		$35.00	$93.74	$253.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $104.89 / $131.11	Professional		$46.83	$104.89	$131.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $144.19 / $235.84	Facility		$38.29	$144.19	$235.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $81.25 / $109.84	Professional		$30.69	$81.25	$109.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $88.80 / $133.13	Professional		$37.11	$88.80	$133.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $93.65 / $1,448.00	Facility		$35.54	$93.65	$1,448.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $100.80 / $355.82	Professional		$84.00	$100.80	$355.82
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,117.00 / $2,041.00	Facility		$704.00	$1,117.00	$2,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $98.00 / $137.94	Professional		$86.80	$98.00	$137.94