Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $1,174.90	Facility		$194.98	$407.38	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $389.05	Professional		$173.78	$229.09	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $416.87	Facility		$165.96	$218.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $478.63	Professional		$151.36	$181.97	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $524.81	Facility		$204.17	$363.08	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $1,819.70	Professional		$107.15	$151.36	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $257.04 / $309.03	Facility		$93.33	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $218.78	Professional		$107.15	$131.83	$218.78