Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.65 / $1,495.00 / $7,655.00	Facility		$201.65	$1,495.00	$7,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $133.60 / $311.06	Professional		$78.44	$133.60	$311.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $44.84 / $105.81	Professional		$32.64	$44.84	$105.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $784.41 / $978.99	Facility		$457.00	$784.41	$978.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $113.19 / $239.44	Professional		$113.19	$113.19	$239.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $596.00 / $621.00	Facility		$524.00	$596.00	$621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $179.73 / $361.00	Professional		$91.74	$179.73	$361.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $195.01 / $1,162.00	Facility		$82.84	$195.01	$1,162.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $250.71 / $1,387.84	Professional		$170.55	$250.71	$1,387.84
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,081.00 / $3,918.00	Facility		$816.00	$2,081.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $202.95 / $341.88	Professional		$165.00	$202.95	$341.88