Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.38 / $717.93 / $828.80	Facility		$117.38	$717.93	$828.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $233.25 / $322.49	Professional		$187.35	$233.25	$322.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $251.54 / $415.04	Professional		$120.00	$251.54	$415.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $630.86 / $1,044.92	Facility		$159.71	$630.86	$1,044.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $279.49 / $545.00	Professional		$209.62	$279.49	$545.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $643.95	Facility		$287.45	$287.45	$643.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $265.92 / $466.63	Professional		$196.55	$265.92	$466.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.73 / $257.39 / $493.02	Facility		$228.73	$257.39	$493.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.88 / $270.19 / $1,550.91	Professional		$210.88	$270.19	$1,550.91
United Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $250.42 / $488.95	Professional		$210.39	$250.42	$488.95