Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.62 / $2,260.00 / $6,305.00	Facility		$406.62	$2,260.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $215.30 / $678.02	Professional		$121.24	$215.30	$678.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $180.06 / $180.06	Professional		$180.06	$180.06	$180.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $210.52 / $315.77	Professional		$158.50	$210.52	$315.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $232.66 / $411.26	Professional		$131.37	$232.66	$411.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $235.20 / $1,371.00	Facility		$133.36	$235.20	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $283.00 / $1,880.28	Professional		$209.42	$283.00	$1,880.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $1,643.00 / $3,294.00	Facility		$1,002.00	$1,643.00	$3,294.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.32 / $251.60 / $472.03	Professional		$203.32	$251.60	$472.03