Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $353.88 / $617.88	Facility		$193.09	$353.88	$617.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $222.77 / $229.43	Professional		$190.51	$222.77	$229.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $89.15 / $130.90	Facility		$66.64	$89.15	$130.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $244.58 / $378.38	Professional		$244.58	$244.58	$378.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $229.55 / $420.46	Facility		$167.34	$229.55	$420.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $168.80 / $483.68	Professional		$114.71	$168.80	$483.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.04 / $360.43 / $515.01	Facility		$200.04	$360.43	$515.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $151.07 / $1,820.56	Professional		$108.13	$151.07	$1,820.56
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $141.60 / $286.05	Professional		$108.13	$141.60	$286.05