Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $2,640.00 / $6,305.00	Facility		$1,125.00	$2,640.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $204.46 / $284.95	Professional		$101.89	$204.46	$284.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $110.30 / $110.30	Professional		$110.30	$110.30	$110.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $439.67 / $723.65	Facility		$110.61	$439.67	$723.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $131.06 / $196.60	Professional		$81.81	$131.06	$196.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $250.05 / $464.80	Professional		$126.04	$250.05	$464.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $237.83 / $585.53	Facility		$112.58	$237.83	$585.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.54 / $329.23 / $1,874.88	Professional		$231.54	$329.23	$1,874.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,711.00 / $3,268.00	Facility		$1,086.00	$1,711.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $261.72 / $524.74	Professional		$204.30	$261.72	$524.74