Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $700.00 / $1,961.00	Facility		$582.00	$700.00	$1,961.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $641.00 / $641.00	Facility		$641.00	$641.00	$641.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $315.00 / $374.50	Facility		$297.50	$315.00	$374.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $689.00 / $900.00	Facility		$280.00	$689.00	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,123.00 / $5,000.00	Facility		$250.00	$1,123.00	$5,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $630.00 / $1,123.00	Facility		$100.00	$630.00	$1,123.00