Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.59 / $1,931.00 / $4,521.00	Facility		$620.59	$1,931.00	$4,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $109.12 / $446.33	Professional		$75.34	$109.12	$446.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $114.11 / $201.16	Professional		$114.11	$114.11	$201.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,620.76 / $2,700.74	Facility		$412.80	$1,620.76	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $118.04 / $139.16	Professional		$92.77	$118.04	$139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $118.38 / $193.16	Professional		$76.90	$118.38	$193.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $115.92 / $1,053.00	Facility		$79.50	$115.92	$1,053.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $132.94 / $1,011.75	Professional		$97.92	$132.94	$1,011.75
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 $95.37 / $119.95 / $207.36	Professional		$95.37	$119.95	$207.36