Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $49.61 / $50.95	Professional		$21.03	$49.61	$50.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $59.25	Professional		$59.25	$59.25	$59.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,926.95 / $3,005.44 / $4,713.87	Facility		$1,926.95	$3,005.44	$4,713.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $49.35 / $67.76	Professional		$22.28	$49.35	$67.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $50.92 / $72.05	Professional		$24.57	$50.92	$72.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $55.00 / $1,541.00	Facility		$21.99	$55.00	$1,541.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $56.68 / $177.18	Professional		$45.24	$56.68	$177.18
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $54.50 / $76.91	Professional		$43.60	$54.50	$76.91