Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,683.00 / $9,544.84	Facility		$882.00	$3,683.00	$9,544.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $152.94 / $154.74	Professional		$127.28	$152.94	$154.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $132.32 / $178.63	Professional		$122.04	$132.32	$178.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $188.24 / $216.93	Professional		$140.00	$188.24	$216.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $195.85 / $245.29	Professional		$140.63	$195.85	$245.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $208.77 / $1,676.40	Facility		$139.00	$208.77	$1,676.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $65.55 / $65.55	Facility	AS	$35.86	$65.55	$65.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $165.15 / $1,902.24	Professional		$130.07	$165.15	$1,902.24
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $157.81 / $215.76	Professional		$122.42	$157.81	$215.76