Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $6,309.57	Facility		$1,258.93	$3,090.30	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $234.42	Professional		$57.54	$77.62	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,318.26 / $1,995.26	Facility		$416.87	$1,318.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $169.82	Professional		$52.48	$67.61	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $1,905.46	Facility		$60.26	$87.10	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $1,513.56	Professional		$64.57	$89.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,122.02 / $2,187.76	Facility		$208.93	$1,122.02	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $123.03	Professional		$54.95	$70.79	$123.03