Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,778.00 / $5,506.00	Facility		$627.00	$1,778.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $171.31 / $511.22	Professional		$69.51	$171.31	$511.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $75.59 / $79.04	Professional		$64.54	$75.59	$79.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,541.29 / $2,700.74	Facility		$412.80	$1,541.29	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $225.76 / $353.01	Professional		$84.36	$225.76	$353.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $550.34 / $901.73	Facility		$333.00	$550.34	$901.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $160.46 / $446.35	Professional		$72.23	$160.46	$446.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $182.95 / $522.85	Facility		$71.04	$182.95	$522.85
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $2,105.19	Facility	52	$262.79	$262.79	$2,105.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $65.70 / $65.70 / $526.29	Facility	53	$65.70	$65.70	$526.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $296.70 / $2,112.88	Professional		$158.76	$296.70	$2,112.88
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $1,525.00 / $3,051.00	Facility		$703.00	$1,525.00	$3,051.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $258.39 / $518.19	Professional		$154.19	$258.39	$518.19