Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $1,965.00 / $5,506.00	Facility		$219.86	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $82.93 / $305.00	Professional		$36.57	$82.93	$305.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $119.14 / $137.55	Professional		$84.64	$119.14	$137.55
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 $48.62 / $92.04 / $145.59	Professional		$48.62	$92.04	$145.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $84.34 / $188.35	Professional		$38.93	$84.34	$188.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $89.99 / $213.27	Facility		$39.54	$89.99	$213.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $115.32 / $870.16	Professional		$76.00	$115.32	$870.16
United Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $1,424.00 / $2,057.00	Facility		$285.00	$1,424.00	$2,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $102.90 / $190.87	Professional		$74.00	$102.90	$190.87