Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $1,337.00 / $5,370.00	Facility		$281.25	$1,337.00	$5,370.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $106.91 / $442.00	Professional		$63.40	$106.91	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $62.65 / $129.56	Professional		$43.86	$62.65	$129.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.79 / $2,499.56 / $4,140.09	Facility		$632.79	$2,499.56	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $93.50 / $140.25	Professional		$74.98	$93.50	$140.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $107.26 / $107.26	Facility		$107.26	$107.26	$107.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $101.01 / $171.98	Professional		$63.45	$101.01	$171.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $107.13 / $1,126.00	Facility		$63.40	$107.13	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $130.94 / $852.00	Professional		$88.90	$130.94	$852.00
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $105.35 / $212.30	Professional		$85.75	$105.35	$212.30