Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $1,258.93	Facility		$147.91	$416.87	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $524.81	Professional		$169.82	$218.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $131.83	Professional		$117.49	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $478.63 / $707.95	Facility		$147.91	$478.63	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $446.68	Professional		$223.87	$229.09	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $851.14	Facility		$234.42	$338.84	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $398.11	Professional		$120.23	$234.42	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $524.81	Facility		$194.98	$288.40	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $1,318.26	Professional		$109.65	$123.03	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $316.23	Facility		$234.42	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $158.49	Professional		$109.65	$123.03	$158.49