Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $368.04 / $795.60	Facility		$193.09	$368.04	$795.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $229.95 / $233.44	Professional		$190.51	$229.95	$233.44
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 $67.29 / $88.71 / $130.90	Facility		$67.29	$88.71	$130.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $244.58 / $244.58	Professional		$244.58	$244.58	$244.58
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 / $525.25	Facility		$200.04	$360.43	$525.25
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 / $147.15 / $221.24	Professional		$108.13	$147.15	$221.24