Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,617.00 / $7,605.00	Facility		$1,162.00	$3,617.00	$7,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $180.34 / $391.03	Professional		$99.61	$180.34	$391.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $200.81 / $200.81	Professional		$200.81	$200.81	$200.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.79 / $2,362.71 / $4,140.09	Facility		$632.79	$2,362.71	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $185.81 / $269.43	Professional		$133.56	$185.81	$269.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.12 / $161.47 / $264.58	Facility		$122.12	$161.47	$264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $181.71 / $358.66	Professional		$106.74	$181.71	$358.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $194.79 / $420.65	Facility		$109.23	$194.79	$420.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $231.00 / $1,581.52	Professional		$152.93	$231.00	$1,581.52
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,517.00 / $4,486.00	Facility		$966.00	$2,517.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $195.43 / $374.78	Professional		$147.44	$195.43	$374.78