Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,640.00 / $6,060.00	Facility		$936.00	$2,640.00	$6,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $367.75	Professional		$142.77	$201.22	$367.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $190.41 / $208.39	Professional		$190.41	$190.41	$208.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $2,064.02 / $3,616.69	Facility		$552.79	$2,064.02	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $211.46 / $282.02	Professional		$181.90	$211.46	$282.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $174.94 / $286.64	Facility		$132.29	$174.94	$286.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $220.86 / $392.23	Professional		$149.87	$220.86	$392.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $224.20 / $470.80	Facility		$153.12	$224.20	$470.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $254.00 / $1,607.52	Professional		$187.74	$254.00	$1,607.52
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 $184.10 / $220.92 / $415.65	Professional		$184.10	$220.92	$415.65