Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,621.81 / $6,456.54	Facility		$218.78	$1,621.81	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $478.63	Professional		$67.61	$169.82	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $134.90	Professional		$40.74	$70.79	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $4,677.35	Facility		$1,862.09	$2,951.21	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $269.15 / $380.19	Professional		$69.18	$269.15	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $371.54	Professional		$79.43	$181.97	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $257.04 / $1,949.84	Facility		$75.86	$257.04	$1,949.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	52	$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	53	$66.07	$66.07	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $2,089.30	Professional		$181.97	$288.40	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,318.26 / $2,630.27	Facility		$371.54	$1,318.26	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $323.59	Professional		$67.61	$144.54	$323.59