Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $1,815.00 / $7,655.00	Facility		$99.07	$1,815.00	$7,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $114.42 / $354.79	Professional		$54.28	$114.42	$354.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $48.41	Professional		$47.49	$47.49	$48.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $64.29 / $103.29	Facility		$49.00	$64.29	$103.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $276.60	Professional		$111.00	$111.00	$276.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $154.22 / $388.34	Professional		$67.02	$154.22	$388.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $169.73 / $434.72	Facility		$56.52	$169.73	$434.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $264.12 / $2,881.04	Professional		$156.26	$264.12	$2,881.04
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $199.58 / $359.46	Professional		$149.75	$199.58	$359.46