Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.03 / $1,671.00 / $4,521.00	Facility		$548.03	$1,671.00	$4,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $272.35 / $643.03	Professional		$122.81	$272.35	$643.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $132.01 / $200.25	Professional		$68.78	$132.01	$200.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,439.64 / $2,572.26	Facility		$412.80	$1,439.64	$2,572.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $177.42 / $353.99	Professional		$127.31	$177.42	$353.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $565.99 / $927.38	Facility		$333.00	$565.99	$927.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $269.17 / $483.19	Professional		$127.28	$269.17	$483.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $275.37 / $595.14	Facility		$123.50	$275.37	$595.14
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $442.02 / $442.02 / $2,165.08	Facility	52	$442.02	$442.02	$2,165.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $110.50 / $110.50 / $541.27	Facility	53	$110.50	$110.50	$541.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.43 / $361.60 / $2,132.08	Professional		$262.43	$361.60	$2,132.08
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,517.00 / $4,486.00	Facility		$966.00	$2,517.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.36 / $313.25 / $568.52	Professional		$255.36	$313.25	$568.52