Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.63 / $2,222.50 / $5,506.00	Facility		$370.63	$2,222.50	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $187.09 / $693.40	Professional		$132.18	$187.09	$693.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $131.18 / $301.70	Professional		$131.18	$131.18	$301.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,534.58 / $2,700.74	Facility		$412.80	$1,534.58	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $187.61 / $244.83	Professional		$161.38	$187.61	$244.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $139.57 / $333.00	Facility		$105.54	$139.57	$333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $193.81 / $352.57	Professional		$133.58	$193.81	$352.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $194.81 / $400.60	Facility		$134.87	$194.81	$400.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $234.49 / $1,434.56	Professional		$166.44	$234.49	$1,434.56
United Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $1,424.00 / $2,057.00	Facility		$285.00	$1,424.00	$2,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $199.20 / $363.93	Professional		$158.34	$199.20	$363.93