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 $192.42 / $217.00 / $242.24	Professional		$192.42	$217.00	$242.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $301.87 / $301.87	Professional		$301.87	$301.87	$301.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,814.06 / $7,529.48 / $11,809.57	Facility		$4,814.06	$7,529.48	$11,809.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $271.06 / $313.47	Professional		$207.15	$271.06	$313.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $204.42 / $204.42	Facility		$204.42	$204.42	$204.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $280.31 / $382.85	Professional		$205.34	$280.31	$382.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $311.77 / $4,240.00	Facility		$216.42	$311.77	$4,240.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $265.58 / $2,363.21	Professional		$200.40	$265.58	$2,363.21
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $3,461.00 / $5,847.50	Facility		$886.00	$3,461.00	$5,847.50
United Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $241.44 / $343.33	Professional		$193.15	$241.44	$343.33