Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,905.46 / $7,585.78	Facility		$131.83	$1,905.46	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $398.11	Professional		$72.44	$177.83	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $436.52	Professional		$194.98	$194.98	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $616.60	Facility		$323.59	$562.34	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $323.59	Professional		$123.03	$123.03	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $407.38	Professional		$81.28	$199.53	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $288.40 / $1,905.46	Facility		$95.50	$288.40	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $1,819.70	Professional		$194.98	$263.03	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $407.38 / $1,778.28	Facility		$97.72	$407.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $323.59	Professional		$83.18	$181.97	$323.59