Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.42 / $2,502.00 / $6,039.69	Facility		$583.42	$2,502.00	$6,039.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $315.47 / $782.14	Professional		$126.20	$315.47	$782.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $162.63 / $279.18	Professional		$71.56	$162.63	$279.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $1,783.47 / $3,444.64	Facility		$552.79	$1,783.47	$3,444.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $201.29 / $511.69	Professional		$134.19	$201.29	$511.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $565.99 / $927.38	Facility		$428.02	$565.99	$927.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $322.93 / $608.05	Professional		$147.32	$322.93	$608.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $348.98 / $796.91	Facility		$138.82	$348.98	$796.91
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $496.53 / $2,165.08	Facility	52	$496.53	$496.53	$2,165.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $124.13 / $541.27	Facility	53	$124.13	$124.13	$541.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $446.46 / $2,784.32	Professional		$302.39	$446.46	$2,784.32
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 $308.27 / $383.52 / $703.49	Professional		$308.27	$383.52	$703.49