Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,652.00 / $7,500.00	Facility		$625.00	$2,652.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $168.58 / $250.31	Professional		$87.98	$168.58	$250.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $130.35 / $130.35	Professional		$93.11	$130.35	$130.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,733.72 / $5,839.76 / $9,111.19	Facility		$3,733.72	$5,839.76	$9,111.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $221.55 / $304.22	Professional		$95.20	$221.55	$304.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $204.12 / $313.25	Professional		$106.87	$204.12	$313.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $223.40 / $1,279.00	Facility		$106.56	$223.40	$1,279.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $252.95 / $1,746.00	Professional		$171.35	$252.95	$1,746.00
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,325.00 / $2,637.00	Facility		$375.00	$1,325.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $226.28 / $359.79	Professional		$168.21	$226.28	$359.79