Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $6,480.00 / $13,151.00	Facility		$115.67	$6,480.00	$13,151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $105.17 / $167.28	Professional		$43.76	$105.17	$167.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $199.37 / $199.37	Professional		$199.37	$199.37	$199.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $74.73 / $165.27	Facility		$54.00	$74.73	$165.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $69.90 / $147.52	Professional		$59.42	$69.90	$147.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $104.09 / $187.50	Professional		$54.50	$104.09	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.97 / $108.33 / $797.00	Facility		$52.97	$108.33	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $135.15 / $913.04	Professional		$98.44	$135.15	$913.04
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,769.00	Facility		$191.00	$526.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $125.54 / $192.49	Professional		$97.03	$125.54	$192.49