Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $416.87	Facility		$263.03	$269.15	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $288.40	Professional		$186.21	$208.93	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $251.19	Professional		$177.83	$239.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $812.83	Professional		$199.53	$269.15	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $218.78 / $562.34	Facility		$190.55	$218.78	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $1,288.25	Professional		$218.78	$316.23	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $416.87	Professional		$213.80	$269.15	$416.87