Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $2,630.27	Facility		$138.04	$257.04	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $263.03	Professional		$131.83	$165.96	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $457.09	Professional		$218.78	$354.81	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,479.11	Facility		$575.44	$891.25	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $457.09	Professional		$288.40	$302.00	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $363.08	Professional		$138.04	$165.96	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $1,230.27	Facility		$109.65	$151.36	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $1,202.26	Professional		$158.49	$204.17	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $575.44 / $1,000.00	Facility		$169.82	$575.44	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $295.12	Professional		$158.49	$190.55	$295.12