Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $371.54	Professional		$190.55	$190.55	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Professional		$190.55	$190.55	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $309.03 / $707.95	Facility		$87.10	$309.03	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $891.25	Professional		$186.21	$371.54	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $275.42	Facility		$162.18	$190.55	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $194.98	Professional		$169.82	$181.97	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $269.15	Facility		$162.18	$162.18	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $204.17	Professional		$190.55	$204.17	$204.17