Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,258.93 / $4,677.35	Facility		$251.19	$1,258.93	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $125.89 / $346.74	Professional		$43.65	$125.89	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $85.11	Professional		$35.48	$42.66	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $169.82 / $331.13	Facility		$69.18	$169.82	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $102.33	Professional		$36.31	$63.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $154.88	Professional		$42.66	$93.33	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $109.65 / $1,862.09	Facility		$42.66	$109.65	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $870.96	Professional		$79.43	$128.82	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,202.26 / $2,187.76	Facility		$169.82	$1,202.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $144.54	Professional		$41.69	$85.11	$144.54