Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $2,790.00 / $5,431.00	Facility		$688.00	$2,790.00	$5,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $304.89 / $1,666.40	Professional		$72.56	$304.89	$1,666.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Professional		$51.32	$51.32	$51.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.92 / $1,639.33 / $2,700.74	Facility		$448.92	$1,639.33	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $200.09 / $327.42	Professional		$67.90	$200.09	$327.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $327.47 / $771.91	Professional		$89.86	$327.47	$771.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $335.39 / $1,487.00	Facility		$79.05	$335.39	$1,487.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.34 / $553.55 / $1,356.33	Professional		$428.34	$553.55	$1,356.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,525.00 / $3,268.00	Facility		$1,068.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $500.84 / $859.02	Professional		$415.36	$500.84	$859.02