Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,754.23 / $5,623.41	Facility		$562.34	$2,754.23	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $302.00	Professional		$67.61	$123.03	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $144.54	Professional		$70.79	$87.10	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,348.96 / $1,995.26	Facility		$416.87	$1,348.96	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $128.82	Professional		$57.54	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $158.49	Professional		$63.10	$83.18	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $1,905.46	Facility		$70.79	$95.50	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $691.83	Professional		$69.18	$97.72	$691.83
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 $60.26 / $75.86 / $112.20	Professional		$60.26	$75.86	$112.20