Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,536.00 / $7,500.00	Facility		$625.00	$2,536.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $88.95 / $118.32	Professional		$51.42	$88.95	$118.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Professional		$65.34	$65.34	$65.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.22 / $1,837.88 / $2,914.55	Facility		$1,165.22	$1,837.88	$2,914.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $95.90 / $131.68	Professional		$50.40	$95.90	$131.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $103.97 / $162.99	Professional		$58.69	$103.97	$162.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $103.98 / $1,036.09	Facility		$56.18	$103.98	$1,036.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $133.08 / $728.98	Professional		$92.62	$133.08	$728.98
United Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $1,265.00 / $2,637.00	Facility		$223.00	$1,265.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $115.65 / $169.40	Professional		$90.49	$115.65	$169.40