Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $80.34 / $178.60	Professional		$59.75	$80.34	$178.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $77.97	Professional		$74.23	$74.23	$77.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $525.76 / $859.95	Facility		$139.66	$525.76	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $60.01 / $72.86	Professional		$48.01	$60.01	$72.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $97.89 / $155.93	Professional		$67.34	$97.89	$155.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $96.06 / $1,126.00	Facility		$65.73	$96.06	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $99.41 / $684.24	Professional		$75.64	$99.41	$684.24
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 $72.90 / $87.50 / $174.99	Professional		$72.90	$87.50	$174.99