Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,311.31 / $5,623.41	Facility		$1,258.93	$3,311.31	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $281.84	Professional		$51.29	$95.50	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $46.77	Professional		$25.12	$25.12	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,000.00 / $1,995.26	Facility		$416.87	$1,000.00	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $177.83	Professional		$61.66	$109.65	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $72.44 / $117.49	Facility		$53.70	$72.44	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $190.55	Professional		$53.70	$97.72	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $95.50 / $371.54	Facility		$53.70	$95.50	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $724.44	Professional		$91.20	$144.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $3,235.94	Facility		$602.56	$1,258.93	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $154.88	Professional		$51.29	$91.20	$154.88