Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.50 / $2,502.00 / $6,060.00	Facility		$633.50	$2,502.00	$6,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $272.95 / $779.65	Professional		$171.88	$272.95	$779.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $149.30 / $219.13	Professional		$143.49	$149.30	$219.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $1,996.99 / $3,610.48	Facility		$552.79	$1,996.99	$3,610.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $303.80 / $480.55	Professional		$203.34	$303.80	$480.55
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 $180.03 / $321.27 / $679.68	Professional		$180.03	$321.27	$679.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $347.52 / $800.82	Facility		$177.01	$347.52	$800.82
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $633.38 / $633.38 / $2,165.08	Facility	52	$633.38	$633.38	$2,165.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $158.34 / $158.34 / $541.27	Facility	53	$158.34	$158.34	$541.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $401.66 / $2,839.20	Professional		$188.37	$401.66	$2,839.20
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 $183.54 / $358.37 / $717.77	Professional		$183.54	$358.37	$717.77