Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.60 / $1,671.00 / $5,506.00	Facility		$222.60	$1,671.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $98.81 / $204.32	Professional		$63.67	$98.81	$204.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $115.14 / $126.11	Professional		$115.14	$115.14	$126.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $1,259.28 / $2,072.66	Facility		$316.80	$1,259.28	$2,072.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $71.17 / $110.31	Professional		$58.34	$71.17	$110.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $97.81 / $162.32	Professional		$70.14	$97.81	$162.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $107.85 / $1,448.00	Facility		$67.38	$107.85	$1,448.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $116.62 / $859.36	Professional		$89.38	$116.62	$859.36
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 $89.28 / $113.40 / $158.75	Professional		$89.28	$113.40	$158.75