Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $1,513.56	Facility		$120.23	$120.23	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $371.54	Professional		$120.23	$151.36	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $380.19	Facility		$190.55	$281.84	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $269.15	Professional		$46.77	$89.13	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $117.49 / $416.87	Facility		$57.54	$117.49	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $245.47	Professional		$87.10	$128.82	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $295.12	Facility		$97.72	$138.04	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $1,023.29	Professional		$112.20	$165.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $354.81 / $575.44	Facility		$104.71	$354.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $199.53	Professional		$112.20	$147.91	$199.53