Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $2,186.00 / $5,506.00	Facility		$383.00	$2,186.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $171.68 / $372.01	Professional		$97.58	$171.68	$372.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $108.49 / $211.31	Professional		$84.90	$108.49	$211.31
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 $112.35 / $145.25 / $189.97	Professional		$112.35	$145.25	$189.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $175.91 / $321.99	Professional		$132.10	$175.91	$321.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $188.67 / $1,873.00	Facility		$140.51	$188.67	$1,873.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $191.31 / $1,475.04	Professional		$152.63	$191.31	$1,475.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $2,017.00 / $3,268.00	Facility		$1,068.00	$2,017.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $186.56 / $255.15	Professional		$148.40	$186.56	$255.15