Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $153.50 / $368.40	Facility		$115.13	$153.50	$368.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $158.52	Professional		$76.75	$157.34	$158.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.23 / $295.77 / $428.45	Facility		$220.23	$295.77	$428.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $145.83 / $153.50	Professional		$145.83	$145.83	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $100.89 / $198.64	Facility		$46.03	$100.89	$198.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $176.76 / $220.96	Professional		$68.45	$176.76	$220.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.27 / $159.71 / $729.13	Facility		$119.27	$159.71	$729.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $153.50	Professional		$64.47	$64.47	$153.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $92.10	Professional		$64.47	$64.47	$92.10