Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,941.00 / $5,506.00	Facility		$585.00	$1,941.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $232.81 / $469.42	Professional		$139.54	$232.81	$469.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $223.68 / $260.95	Professional		$173.97	$223.68	$260.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $157.96 / $250.44	Professional		$120.35	$157.96	$250.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $226.55 / $361.30	Professional		$142.33	$226.55	$361.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.93 / $242.08 / $1,448.00	Facility		$136.93	$242.08	$1,448.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $246.51 / $1,960.40	Professional		$198.22	$246.51	$1,960.40
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 $198.00 / $239.71 / $348.27	Professional		$198.00	$239.71	$348.27