Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $912.01	Facility		$194.98	$295.12	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $269.15	Professional		$169.82	$190.55	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $131.83	Facility		$64.57	$93.33	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $707.95	Facility		$169.82	$169.82	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $380.19	Professional		$117.49	$213.80	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $446.68	Facility		$194.98	$331.13	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $398.11	Professional		$109.65	$123.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $316.23	Facility		$109.65	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $173.78	Professional		$109.65	$123.03	$173.78