Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $1,737.80	Facility		$239.88	$288.40	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $338.84	Professional		$208.93	$239.88	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $204.17 / $239.88	Professional		$57.54	$204.17	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $338.84	Facility		$323.59	$331.13	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $363.08	Facility		$199.53	$251.19	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $302.00	Professional		$234.42	$281.84	$302.00