Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.05 / $277.05 / $277.05	Facility		$277.05	$277.05	$277.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $141.99 / $277.05	Professional		$115.62	$141.99	$277.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $105.08 / $112.44	Professional		$105.08	$105.08	$112.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $182.32 / $182.32	Professional		$154.97	$182.32	$182.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $159.10 / $240.90	Professional		$115.16	$159.10	$240.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $155.07 / $277.05	Facility		$116.81	$155.07	$277.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $168.70 / $1,165.68	Professional		$127.76	$168.70	$1,165.68
United Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $157.96 / $230.10	Professional		$123.90	$157.96	$230.10