Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $6,309.57	Facility		$1,258.93	$3,090.30	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $588.84	Professional		$154.88	$204.17	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,318.26 / $1,995.26	Facility		$416.87	$1,318.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $407.38	Professional		$128.82	$158.49	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $363.08	Professional		$165.96	$218.78	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $2,570.40	Facility		$162.18	$245.47	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $1,148.15	Professional		$165.96	$234.42	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,513.56 / $3,235.94	Facility		$524.81	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $331.13	Professional		$151.36	$190.55	$331.13