Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $264.51 / $492.50	Facility		$147.85	$264.51	$492.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $112.92 / $172.09	Professional		$93.39	$112.92	$172.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $94.10 / $94.10	Professional		$94.10	$94.10	$94.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $361.13 / $572.08	Facility		$95.09	$361.13	$572.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $113.56 / $226.41	Professional		$110.72	$113.56	$226.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.95 / $402.34 / $484.76	Facility		$333.95	$402.34	$484.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $138.77 / $218.05	Professional		$90.74	$138.77	$218.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $137.03 / $251.71	Facility		$104.55	$137.03	$251.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $139.40 / $1,846.00	Professional		$119.32	$139.40	$1,846.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $133.82 / $193.67	Professional		$119.32	$133.82	$193.67