Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $3,683.00 / $18,600.00	Facility		$115.95	$3,683.00	$18,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.77 / $115.95	Professional		$38.90	$69.77	$115.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $47.93 / $47.93	Professional		$47.93	$47.93	$47.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $856.57 / $1,343.48	Facility		$549.19	$856.57	$1,343.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $110.60 / $151.87	Professional		$47.18	$110.60	$151.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $83.43 / $151.80	Professional		$51.08	$83.43	$151.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $120.60 / $1,470.67	Facility		$47.28	$120.60	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $115.17 / $860.56	Professional		$83.11	$115.17	$860.56
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $110.42 / $167.42	Professional		$83.11	$110.42	$167.42