Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $1,070.00 / $4,649.00	Facility		$123.75	$1,070.00	$4,649.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $72.98 / $175.04	Professional		$22.14	$72.98	$175.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $85.26	Professional		$23.48	$23.48	$85.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $315.36 / $524.50	Facility		$87.18	$315.36	$524.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $51.84 / $87.65	Professional		$26.46	$51.84	$87.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $51.19 / $103.68	Professional		$29.76	$51.19	$103.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $92.82 / $1,424.00	Facility		$33.54	$92.82	$1,424.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $92.33 / $651.16	Professional		$53.01	$92.33	$651.16
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 $53.01 / $88.62 / $98.89	Professional		$53.01	$88.62	$98.89