Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.84 / $1,553.00 / $4,474.00	Facility		$215.84	$1,553.00	$4,474.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $107.81 / $421.25	Professional		$54.25	$107.81	$421.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $47.85 / $47.85	Professional		$42.17	$47.85	$47.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $250.56 / $453.01	Facility		$75.43	$250.56	$453.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $63.30 / $107.03	Professional		$45.36	$63.30	$107.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $109.88 / $168.62	Professional		$56.62	$109.88	$168.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $116.96 / $1,424.00	Facility		$52.74	$116.96	$1,424.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $131.25 / $918.11	Professional		$98.88	$131.25	$918.11
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $113.68 / $176.25	Professional		$92.70	$113.68	$176.25