Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $5,623.41	Facility		$616.60	$2,398.83	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $251.19	Professional		$42.66	$72.44	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $53.70	Professional		$19.05	$37.15	$53.70
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 $42.66 / $45.71 / $138.04	Professional		$42.66	$45.71	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $75.86	Professional		$45.71	$52.48	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $2,041.74	Facility		$45.71	$97.72	$2,041.74
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $22.39 / $22.39 / $50.12	Facility	53	$22.39	$22.39	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $537.03	Professional		$43.65	$56.23	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,230.27 / $2,187.76	Facility		$676.08	$1,230.27	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $79.43	Professional		$42.66	$51.29	$79.43