Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.98 / $2,633.00 / $6,483.00	Facility		$175.98	$2,633.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $121.56 / $461.00	Professional		$87.98	$121.56	$461.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $168.17 / $168.17	Professional		$168.17	$168.17	$168.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $120.83 / $162.50	Professional		$103.94	$120.83	$162.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $122.75 / $122.75	Facility		$122.75	$122.75	$122.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $126.81 / $222.21	Professional		$86.86	$126.81	$222.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $132.13 / $1,126.00	Facility		$87.73	$132.13	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $149.94 / $943.60	Professional		$101.15	$149.94	$943.60
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,535.00 / $2,175.00	Facility		$631.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $124.20 / $244.27	Professional		$98.28	$124.20	$244.27