Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.97 / $662.97 / $662.97	Facility		$662.97	$662.97	$662.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.71 / $302.64 / $662.97	Professional		$244.71	$302.64	$662.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.09 / $151.32 / $331.49	Professional	52	$137.09	$151.32	$331.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.71 / $251.99 / $330.25	Professional		$251.71	$251.99	$330.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $362.18 / $362.18	Professional		$307.85	$362.18	$362.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.28 / $330.21 / $503.38	Professional		$240.28	$330.21	$503.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $333.02 / $662.97	Facility		$267.39	$333.02	$662.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.83 / $325.12 / $1,893.50	Professional		$245.83	$325.12	$1,893.50
United Facility/Professional Professional Modifier Low / Median / High Price $244.33 / $301.04 / $476.44	Professional		$244.33	$301.04	$476.44