Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $2,280.00 / $5,506.00	Facility		$585.00	$2,280.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $194.57 / $380.54	Professional		$131.50	$194.57	$380.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $112.25 / $192.43	Professional		$101.56	$112.25	$192.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,651.20 / $2,700.74	Facility		$438.60	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $159.68 / $215.27	Professional		$127.31	$159.68	$215.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $198.46 / $353.60	Professional		$146.59	$198.46	$353.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $213.81 / $2,453.00	Facility		$154.66	$213.81	$2,453.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $217.37 / $1,665.36	Professional		$173.52	$217.37	$1,665.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $2,567.00 / $5,105.00	Facility		$1,584.00	$2,567.00	$5,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $212.08 / $292.41	Professional		$171.61	$212.08	$292.41