Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.77 / $488.77 / $686.14	Facility		$488.77	$488.77	$686.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $148.88 / $365.97	Professional		$113.09	$148.88	$365.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $145.90 / $145.90	Professional		$109.43	$145.90	$145.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $312.47 / $520.67	Facility		$79.58	$312.47	$520.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $134.24 / $167.80	Professional		$100.68	$134.24	$167.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $509.25 / $717.25	Facility		$230.01	$509.25	$717.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $158.19 / $293.58	Professional		$100.47	$158.19	$293.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $174.94 / $322.85	Facility		$100.84	$174.94	$322.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $165.29 / $1,029.11	Professional		$112.14	$165.29	$1,029.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $165.29 / $239.42	Professional		$112.14	$165.29	$239.42