Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $363.08	Facility		$100.00	$208.93	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $363.08	Professional		$165.96	$218.78	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $218.78	Professional		$95.50	$131.83	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $575.44 / $851.14	Facility		$177.83	$575.44	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $1,047.13	Professional		$218.78	$436.52	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $302.00	Facility		$208.93	$234.42	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $251.19	Professional		$234.42	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $269.15	Professional		$251.19	$269.15	$269.15