Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,640.00 / $5,506.00	Facility		$936.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $145.38 / $612.00	Professional		$111.87	$145.38	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $144.10 / $201.74	Professional		$100.87	$144.10	$201.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $211.92 / $335.71	Facility		$51.31	$211.92	$335.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $139.63 / $158.83	Professional		$112.22	$139.63	$158.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $176.92 / $274.44	Professional		$122.43	$176.92	$274.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $162.46 / $1,203.00	Facility		$117.43	$162.46	$1,203.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $181.89 / $873.60	Professional		$133.91	$181.89	$873.60
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 $131.13 / $156.51 / $302.41	Professional		$131.13	$156.51	$302.41