Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $237.10 / $251.92	Professional		$156.25	$237.10	$251.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $103.08 / $103.08	Professional		$103.08	$103.08	$103.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.84 / $3,005.44 / $4,775.00	Facility		$1,891.84	$3,005.44	$4,775.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $240.45 / $330.17	Professional		$163.41	$240.45	$330.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $262.79 / $355.54	Professional		$177.67	$262.79	$355.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.27 / $270.00 / $2,421.00	Facility		$167.27	$270.00	$2,421.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $261.64 / $1,889.68	Professional		$214.70	$261.64	$1,889.68
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,265.00 / $2,637.00	Facility		$375.00	$1,265.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $254.25 / $377.03	Professional		$209.32	$254.25	$377.03