Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $239.88 / $239.88	Facility		$43.65	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $117.49	Professional		$40.74	$53.70	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $77.62	Professional		$20.42	$21.38	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Facility		$371.54	$389.05	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $1,023.29	Facility		$302.00	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $346.74	Facility		$40.74	$51.29	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $338.84	Professional		$117.49	$177.83	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $234.42 / $354.81	Facility		$60.26	$234.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $245.47	Professional		$104.71	$177.83	$245.47