Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,206.00 / $6,245.00	Facility		$500.00	$2,206.00	$6,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $202.11 / $257.47	Professional		$95.85	$202.11	$257.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $165.72 / $165.72	Professional		$165.72	$165.72	$165.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.79 / $1,793.27 / $2,833.93	Facility		$1,122.79	$1,793.27	$2,833.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $253.05 / $347.47	Professional		$107.04	$253.05	$347.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $599.29	Facility		$599.29	$599.29	$599.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $174.04 / $387.09	Professional		$126.96	$174.04	$387.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $242.96 / $2,038.67	Facility		$96.89	$242.96	$2,038.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $285.02 / $987.51	Professional		$220.76	$285.02	$987.51
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,325.00 / $2,637.00	Facility		$375.00	$1,325.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $252.68 / $371.67	Professional		$122.67	$252.68	$371.67