Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,683.00 / $8,400.00	Facility		$916.00	$3,683.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $174.93 / $254.87	Professional		$103.92	$174.93	$254.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $98.79 / $98.79	Professional		$98.79	$98.79	$98.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.10 / $964.48 / $1,523.87	Facility		$607.10	$964.48	$1,523.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $260.14 / $358.53	Professional		$161.69	$260.14	$358.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $152.80 / $152.80	Facility		$152.80	$152.80	$152.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $249.60 / $401.40	Professional		$116.55	$249.60	$401.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $245.65 / $2,969.00	Facility		$103.92	$245.65	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $305.20 / $1,887.63	Professional		$237.12	$305.20	$1,887.63
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,990.00 / $4,012.00	Facility		$575.00	$1,990.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.86 / $282.14 / $404.01	Professional		$225.86	$282.14	$404.01