Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.00 / $2,292.00 / $5,506.00	Facility		$667.00	$2,292.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $183.02 / $411.12	Professional		$120.08	$183.02	$411.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $122.76 / $201.85	Professional		$88.39	$122.76	$201.85
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 $116.91 / $152.96 / $197.68	Professional		$116.91	$152.96	$197.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $190.27 / $339.87	Professional		$141.37	$190.27	$339.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $198.14 / $2,399.00	Facility		$147.85	$198.14	$2,399.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $203.28 / $1,533.68	Professional		$166.32	$203.28	$1,533.68
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 $161.69 / $194.37 / $261.45	Professional		$161.69	$194.37	$261.45