Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,290.87 / $5,623.41	Facility		$489.78	$2,290.87	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $501.19	Professional		$100.00	$204.17	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $245.47	Professional		$70.79	$109.65	$245.47
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 $109.65 / $144.54 / $251.19	Professional		$109.65	$144.54	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $331.13	Professional		$131.83	$177.83	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $2,630.27	Facility		$141.25	$204.17	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $1,479.11	Professional		$158.49	$204.17	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,513.56 / $3,235.94	Facility		$602.56	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47