Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.73 / $2,508.00 / $7,500.00	Facility		$223.73	$2,508.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $140.88 / $192.81	Professional		$79.50	$140.88	$192.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $102.59	Professional		$102.59	$102.59	$102.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.22 / $1,851.11 / $2,914.55	Facility		$1,165.22	$1,851.11	$2,914.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $165.20 / $233.23	Professional		$88.46	$165.20	$233.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $140.06 / $260.72	Professional		$98.29	$140.06	$260.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $185.69 / $1,760.00	Facility		$89.74	$185.69	$1,760.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $232.23 / $2,229.16	Professional		$152.60	$232.23	$2,229.16
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $186.71 / $279.10	Professional		$140.32	$186.71	$279.10