Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $3,612.00 / $7,500.00	Facility		$750.00	$3,612.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $74.22 / $133.37	Professional		$50.60	$74.22	$133.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $82.91 / $82.91	Professional		$82.91	$82.91	$82.91
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 $70.03 / $97.36 / $145.16	Professional		$70.03	$97.36	$145.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $70.40 / $70.40	Facility		$70.40	$70.40	$70.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $106.38 / $208.49	Professional		$59.62	$106.38	$208.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $107.72 / $1,900.35	Facility		$53.14	$107.72	$1,900.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $132.62 / $1,157.00	Professional		$74.23	$132.62	$1,157.00
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 $72.48 / $113.54 / $167.52	Professional		$72.48	$113.54	$167.52