Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.21 / $957.21 / $957.21	Facility		$957.21	$957.21	$957.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.50 / $666.41 / $1,066.26	Professional		$307.50	$666.41	$1,066.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $954.75 / $954.75	Professional		$954.75	$954.75	$954.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.36 / $586.69 / $624.08	Facility		$557.36	$586.69	$624.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.59 / $646.59 / $646.59	Professional		$646.59	$646.59	$646.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,383.75	Professional		$435.50	$435.50	$1,383.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $985.93 / $5,050.38	Facility		$307.50	$985.93	$5,050.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.54 / $665.36 / $1,626.32	Professional		$317.54	$665.36	$1,626.32
United Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $697.28 / $1,018.40	Facility		$0.76	$697.28	$1,018.40
United Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $635.08 / $850.58	Professional		$423.39	$635.08	$850.58