Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.56 / $2,111.00 / $6,422.00	Facility		$160.56	$2,111.00	$6,422.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $95.60 / $248.05	Professional		$52.56	$95.60	$248.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $48.38 / $91.26	Professional		$48.38	$48.38	$91.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.08 / $581.61 / $842.49	Facility		$433.08	$581.61	$842.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $215.95 / $296.52	Professional		$57.50	$215.95	$296.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $139.16 / $205.87	Facility		$139.16	$139.16	$205.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $137.03 / $265.06	Professional		$63.47	$137.03	$265.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $166.29 / $871.04	Facility		$59.90	$166.29	$871.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $209.56 / $2,881.04	Professional		$137.01	$209.56	$2,881.04
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $185.61 / $342.34	Professional		$123.89	$185.61	$342.34