Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.33 / $1,965.00 / $5,506.00	Facility		$179.33	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $85.01 / $328.00	Professional		$65.48	$85.01	$328.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $83.92 / $123.68	Professional		$70.67	$83.92	$123.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,651.20 / $2,700.74	Facility		$412.80	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $74.28 / $88.97	Professional		$55.91	$74.28	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $80.56 / $158.78	Professional		$63.81	$80.56	$158.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $88.60 / $1,448.00	Facility		$69.94	$88.60	$1,448.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $87.85 / $691.60	Professional		$67.39	$87.85	$691.60
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $83.37 / $110.89	Professional		$67.31	$83.37	$110.89