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 / $6,483.00	Facility		$936.00	$2,788.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $231.78 / $406.11	Professional		$154.93	$231.78	$406.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $216.50 / $261.97	Professional		$178.30	$216.50	$261.97
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 $149.91 / $174.27 / $256.37	Professional		$149.91	$174.27	$256.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $243.06 / $402.15	Professional		$163.80	$243.06	$402.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.84 / $254.96 / $1,873.00	Facility		$170.84	$254.96	$1,873.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $271.32 / $1,998.72	Professional		$222.12	$271.32	$1,998.72
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 $215.95 / $261.45 / $346.75	Professional		$215.95	$261.45	$346.75