Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.77 / $395.77 / $395.77	Facility		$395.77	$395.77	$395.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $212.31 / $377.15	Professional		$193.28	$212.31	$377.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $197.44 / $209.91	Professional		$145.47	$197.44	$209.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.66 / $748.88 / $1,186.33	Facility		$192.66	$748.88	$1,186.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $189.12 / $219.85	Professional		$141.84	$189.12	$219.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.32 / $825.32 / $825.32	Facility		$825.32	$825.32	$825.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $221.18 / $380.62	Professional		$189.84	$221.18	$380.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $285.31 / $1,944.00	Facility		$204.05	$285.31	$1,944.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $205.02 / $485.75	Professional		$171.84	$205.02	$485.75
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $1,409.00 / $2,175.00	Facility		$683.00	$1,409.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $204.06 / $280.31	Professional		$171.84	$204.06	$280.31