Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $2,921.10 / $5,370.00	Facility		$585.00	$2,921.10	$5,370.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $283.23 / $1,108.79	Professional		$195.72	$283.23	$1,108.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $201.48 / $266.10	Professional		$169.69	$201.48	$266.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.92 / $1,713.12 / $2,700.74	Facility		$448.92	$1,713.12	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $220.63 / $261.95	Professional		$169.01	$220.63	$261.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.05 / $1,165.05 / $1,165.05	Facility		$1,165.05	$1,165.05	$1,165.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $254.53 / $394.15	Professional		$188.54	$254.53	$394.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $302.50 / $2,421.00	Facility		$196.48	$302.50	$2,421.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.53 / $85.53 / $85.53	Facility	AS	$85.53	$85.53	$85.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $294.98 / $2,196.12	Professional		$230.40	$294.98	$2,196.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,578.00 / $2,567.00 / $5,029.00	Facility		$1,578.00	$2,567.00	$5,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $279.14 / $423.55	Professional		$211.20	$279.14	$423.55