Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,304.00 / $5,506.00	Facility		$627.00	$2,304.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $159.18 / $328.54	Professional		$76.86	$159.18	$328.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $164.10 / $293.39	Professional		$38.85	$164.10	$293.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,534.58 / $2,700.74	Facility		$412.80	$1,534.58	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $138.99 / $219.86	Professional		$95.02	$138.99	$219.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $796.37 / $1,304.83	Facility		$333.00	$796.37	$1,304.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $164.86 / $302.80	Professional		$84.72	$164.86	$302.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $170.67 / $368.34	Facility		$82.90	$170.67	$368.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $213.40 / $2,229.16	Professional		$150.80	$213.40	$2,229.16
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 $149.09 / $180.00 / $335.71	Professional		$149.09	$180.00	$335.71