Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $446.68 / $912.01	Facility		$104.71	$446.68	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $218.78	Professional		$95.50	$128.82	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $128.82	Professional		$75.86	$114.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $645.65	Facility		$257.04	$407.38	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $169.82	Professional		$97.72	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $223.87	Professional		$112.20	$162.18	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $1,548.82	Facility		$104.71	$165.96	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $977.24	Professional		$112.20	$154.88	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $616.60 / $1,659.59	Facility		$138.04	$616.60	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $173.78	Professional		$87.10	$120.23	$173.78