Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $257.87 / $723.00	Facility		$93.62	$257.87	$723.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.85 / $60.67 / $108.86	Facility	52	$50.85	$60.67	$108.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $150.99 / $260.80	Professional		$82.54	$150.99	$260.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $80.48 / $148.16	Professional		$68.42	$80.48	$148.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $325.54 / $434.55	Facility		$241.74	$325.54	$434.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $118.25 / $261.87	Professional		$100.51	$118.25	$261.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.78 / $732.75 / $1,093.33	Facility		$408.78	$732.75	$1,093.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $175.54 / $367.93	Professional		$87.09	$175.54	$367.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $180.86 / $380.35	Facility		$87.08	$180.86	$380.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $360.86 / $1,806.86	Professional		$185.73	$360.86	$1,806.86
United Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $226.64 / $396.34	Professional		$178.18	$226.64	$396.34