Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $2,624.00 / $10,439.00	Facility		$208.03	$2,624.00	$10,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $153.65 / $243.51	Professional		$109.45	$153.65	$243.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $113.03 / $197.28	Professional		$113.03	$113.03	$197.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.04 / $278.95 / $388.87	Facility		$218.04	$278.95	$388.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $186.60 / $209.74	Professional		$158.61	$186.60	$209.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $189.58 / $286.94	Professional		$129.19	$189.58	$286.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $198.18 / $415.63	Facility		$122.23	$198.18	$415.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $208.51 / $1,104.40	Professional		$155.91	$208.51	$1,104.40
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,713.00	Facility		$191.00	$526.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $187.09 / $259.69	Professional		$154.94	$187.09	$259.69