Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,359.00 / $6,060.00	Facility		$936.00	$2,359.00	$6,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $160.15 / $297.76	Professional		$76.23	$160.15	$297.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $109.93	Professional		$109.93	$109.93	$109.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $265.38 / $439.55	Facility		$67.18	$265.38	$439.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $97.13 / $145.69	Professional		$58.02	$97.13	$145.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $192.03 / $365.42	Professional		$84.18	$192.03	$365.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $182.08 / $438.73	Facility		$80.02	$182.08	$438.73
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $280.07 / $1,553.44	Professional		$187.20	$280.07	$1,553.44
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $217.19 / $422.64	Professional		$176.80	$217.19	$422.64