Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,445.00 / $7,500.00	Facility		$625.00	$2,445.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $175.61 / $222.95	Professional		$132.18	$175.61	$222.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $241.60 / $241.60	Professional		$241.60	$241.60	$241.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.65 / $957.71 / $1,498.95	Facility		$616.65	$957.71	$1,498.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $182.35 / $250.39	Professional		$127.75	$182.35	$250.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $207.01 / $291.14	Professional		$141.72	$207.01	$291.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.33 / $207.20 / $674.89	Facility		$143.33	$207.20	$674.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $236.46 / $1,434.56	Professional		$167.49	$236.46	$1,434.56
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $208.77 / $313.55	Professional		$159.76	$208.77	$313.55