Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,965.00 / $5,506.00	Facility		$541.00	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $251.46 / $566.46	Professional		$166.81	$251.46	$566.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $161.15 / $307.64	Professional		$131.85	$161.15	$307.64
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 $161.76 / $190.36 / $295.06	Professional		$161.76	$190.36	$295.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $266.95 / $436.55	Professional		$181.59	$266.95	$436.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $286.95 / $1,424.00	Facility		$183.68	$286.95	$1,424.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $292.80 / $2,310.32	Professional		$233.28	$292.80	$2,310.32
United Facility/Professional Facility Modifier Low / Median / High Price $340.68 / $1,203.00 / $2,175.00	Facility		$340.68	$1,203.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.16 / $285.12 / $399.09	Professional		$231.16	$285.12	$399.09