Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $5,506.00	Facility		$1,162.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $148.75 / $397.23	Professional		$104.59	$148.75	$397.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $169.26 / $169.26	Professional		$169.26	$169.26	$169.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $1,157.33 / $1,892.98	Facility		$307.42	$1,157.33	$1,892.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $104.11 / $141.50	Professional		$81.66	$104.11	$141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $184.15 / $297.70	Professional		$117.90	$184.15	$297.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $179.49 / $1,438.00	Facility		$111.62	$179.49	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $195.30 / $845.68	Professional		$148.83	$195.30	$845.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $171.38 / $337.62	Professional		$141.18	$171.38	$337.62