Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,445.44 / $6,456.54	Facility		$204.17	$1,445.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $398.11	Professional		$131.83	$190.55	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $269.15	Professional		$123.03	$128.82	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,445.44	Facility		$575.44	$891.25	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $251.19	Professional		$128.82	$181.97	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $295.12	Professional		$141.25	$204.17	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $954.99	Facility		$138.04	$208.93	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $1,445.44	Professional		$165.96	$229.09	$1,445.44
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 $120.23 / $169.82 / $251.19	Professional		$120.23	$169.82	$251.19