Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.13 / $311.68 / $387.35	Facility		$163.13	$311.68	$387.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $219.82 / $444.80	Professional		$162.50	$219.82	$444.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $190.50 / $190.50	Professional		$190.50	$190.50	$190.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $768.94 / $1,218.21	Facility		$202.49	$768.94	$1,218.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $206.89 / $1,370.89	Professional		$142.24	$206.89	$1,370.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $245.68 / $314.33	Facility		$219.82	$245.68	$314.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $258.61 / $258.61	Professional		$243.53	$258.61	$258.61
United Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $258.61 / $258.61	Professional		$243.53	$258.61	$258.61