Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,788.00 / $6,329.00	Facility		$936.00	$2,788.00	$6,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $142.84 / $414.68	Professional		$91.70	$142.84	$414.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $68.09 / $151.31	Professional		$52.96	$68.09	$151.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $105.40 / $152.36	Professional		$90.11	$105.40	$152.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $145.50 / $240.91	Professional		$99.26	$145.50	$240.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $151.41 / $1,873.00	Facility		$102.82	$151.41	$1,873.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $155.76 / $1,194.16	Professional		$127.44	$155.76	$1,194.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $2,080.00 / $3,467.00	Facility		$1,086.00	$2,080.00	$3,467.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $154.36 / $213.18	Professional		$124.04	$154.36	$213.18