Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.87 / $2,633.00 / $6,483.00	Facility		$617.87	$2,633.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $273.49 / $913.00	Professional		$200.71	$273.49	$913.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $289.14 / $380.46	Professional		$170.45	$289.14	$380.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,197.38 / $3,616.69	Facility		$587.35	$2,197.38	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $239.35 / $306.12	Professional		$181.04	$239.35	$306.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $288.07 / $528.45	Professional		$212.92	$288.07	$528.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.44 / $299.02 / $2,453.00	Facility		$223.44	$299.02	$2,453.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $308.38 / $2,360.71	Professional		$240.48	$308.38	$2,360.71
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 $237.78 / $299.31 / $408.15	Professional		$237.78	$299.31	$408.15