Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,280.00 / $5,506.00	Facility		$504.00	$2,280.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $137.25 / $381.63	Professional		$55.93	$137.25	$381.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $61.77 / $149.46	Professional		$21.64	$61.77	$149.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,534.58 / $2,700.74	Facility		$412.80	$1,534.58	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $117.11 / $230.99	Professional		$66.45	$117.11	$230.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $167.29 / $274.11	Facility		$126.51	$167.29	$274.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $130.57 / $307.89	Professional		$56.98	$130.57	$307.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $142.08 / $346.24	Facility		$57.22	$142.08	$346.24
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $207.08 / $639.96	Facility	52	$207.08	$207.08	$639.96
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $51.77 / $159.99	Facility	53	$51.77	$51.77	$159.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $196.42 / $1,376.00	Professional		$126.54	$196.42	$1,376.00
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $1,497.00 / $3,036.00	Facility		$703.00	$1,497.00	$3,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $170.64 / $341.27	Professional		$121.80	$170.64	$341.27