Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $2,508.00 / $5,506.00	Facility		$395.03	$2,508.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $259.66 / $751.53	Professional		$124.67	$259.66	$751.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $117.65 / $164.71	Professional		$117.65	$117.65	$164.71
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 $144.21 / $179.72 / $260.60	Professional		$144.21	$179.72	$260.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.19 / $711.68 / $1,166.08	Facility		$538.19	$711.68	$1,166.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $216.50 / $407.47	Professional		$129.06	$216.50	$407.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $207.64 / $724.40	Facility		$120.97	$207.64	$724.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $240.96 / $1,538.08	Professional		$179.04	$240.96	$1,538.08
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,499.00 / $4,486.00	Facility		$966.00	$2,499.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $218.41 / $407.03	Professional		$174.73	$218.41	$407.03