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 $102.76 / $129.15 / $212.55	Professional		$102.76	$129.15	$212.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $90.66 / $101.99	Professional		$90.66	$90.66	$101.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.37 / $3,503.66 / $5,550.29	Facility		$901.37	$3,503.66	$5,550.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $86.59 / $108.59	Professional		$78.54	$86.59	$108.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $453.00	Facility		$150.00	$150.00	$453.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $123.55 / $218.41	Professional		$86.15	$123.55	$218.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.73 / $175.65 / $1,924.00	Facility		$92.73	$175.65	$1,924.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $142.38 / $947.48	Professional		$111.87	$142.38	$947.48
United Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,535.00 / $2,175.00	Facility		$617.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $127.44 / $230.19	Professional		$111.21	$127.44	$230.19