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 $104.71 / $151.36 / $407.38	Professional		$104.71	$151.36	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $131.83	Professional		$52.48	$123.03	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,445.44 / $2,691.53	Facility		$549.54	$1,445.44	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $275.42	Professional		$131.83	$169.82	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $169.82	Facility		$77.62	$104.71	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $302.00	Professional		$104.71	$154.88	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $776.25	Facility		$109.65	$154.88	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $1,096.48	Professional		$128.82	$204.17	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $4,677.35	Facility		$977.24	$1,862.09	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $234.42	Professional		$97.72	$138.04	$234.42