Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,923.00 / $7,500.00	Facility		$625.00	$2,923.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $158.29 / $475.31	Professional		$97.05	$158.29	$475.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $126.58 / $126.58	Professional		$126.58	$126.58	$126.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,783.52 / $2,813.12 / $4,461.10	Facility		$1,783.52	$2,813.12	$4,461.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $144.19 / $206.81	Professional		$94.36	$144.19	$206.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $147.66 / $224.87	Professional		$97.77	$147.66	$224.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $162.21 / $871.04	Facility		$98.94	$162.21	$871.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $184.96 / $1,112.48	Professional		$128.72	$184.96	$1,112.48
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $162.77 / $235.45	Professional		$124.55	$162.77	$235.45