Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,584.89 / $5,623.41	Facility		$251.19	$1,584.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $524.81	Professional		$100.00	$229.09	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $229.09	Professional		$83.18	$109.65	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,096.48 / $1,202.26	Facility		$426.58	$1,096.48	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Professional		$158.49	$158.49	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $446.68	Professional		$117.49	$229.09	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $316.23 / $1,288.25	Facility		$104.71	$316.23	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $1,949.84	Professional		$257.04	$346.74	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $2,570.40	Facility		$512.86	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $380.19	Professional		$117.49	$239.88	$380.19