Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $3,232.00 / $10,439.00	Facility		$112.76	$3,232.00	$10,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $82.64 / $138.31	Professional		$59.72	$82.64	$138.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $74.92	Professional		$74.92	$74.92	$74.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $104.88 / $133.75	Professional		$89.15	$104.88	$133.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $98.78 / $162.43	Professional		$72.70	$98.78	$162.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $105.96 / $405.00	Facility		$66.20	$105.96	$405.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $114.79 / $646.88	Professional		$87.25	$114.79	$646.88
United Facility/Professional Facility Modifier Low / Median / High Price $188.29 / $526.00 / $1,713.00	Facility		$188.29	$526.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $100.30 / $145.65	Professional		$84.02	$100.30	$145.65