Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,187.76 / $5,623.41	Facility		$870.96	$2,187.76	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $575.44	Professional		$104.71	$204.17	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $251.19	Professional		$104.71	$107.15	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,445.44 / $2,691.53	Facility		$549.54	$1,445.44	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $389.05	Professional		$131.83	$234.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $147.91	Facility		$112.20	$134.90	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $363.08	Professional		$100.00	$177.83	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $707.95	Facility		$107.15	$190.55	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $1,548.82	Professional		$154.88	$251.19	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $954.99 / $2,137.96	Facility		$208.93	$954.99	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $275.42	Professional		$95.50	$158.49	$275.42