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 $29.62 / $68.69 / $71.26	Professional		$29.62	$68.69	$71.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Professional		$74.73	$74.73	$74.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.84 / $3,005.44 / $4,775.00	Facility		$1,891.84	$3,005.44	$4,775.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $55.99 / $93.24	Professional		$29.75	$55.99	$93.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $71.20 / $102.40	Professional		$34.40	$71.20	$102.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $74.81 / $1,541.00	Facility		$31.21	$74.81	$1,541.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $77.20 / $250.50	Professional		$61.10	$77.20	$250.50
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 $58.90 / $76.29 / $106.70	Professional		$58.90	$76.29	$106.70