Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.89 / $2,260.00 / $5,506.00	Facility		$552.89	$2,260.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $264.18 / $687.08	Professional		$172.97	$264.18	$687.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $272.36 / $345.90	Professional		$258.74	$272.36	$345.90
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 $229.16 / $272.13 / $365.31	Professional		$229.16	$272.13	$365.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.27 / $214.57 / $351.58	Facility		$162.27	$214.57	$351.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $274.76 / $504.58	Professional		$178.20	$274.76	$504.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.74 / $279.39 / $567.13	Facility		$171.74	$279.39	$567.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.44 / $325.38 / $2,102.64	Professional		$216.44	$325.38	$2,102.64
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 $207.10 / $278.27 / $518.85	Professional		$207.10	$278.27	$518.85