Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $467.74	Facility		$295.12	$295.12	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $416.87	Professional		$169.82	$223.87	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $245.47	Professional		$158.49	$169.82	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $114.82	Facility		$53.70	$70.79	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $288.40	Professional		$245.47	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $660.69	Facility		$194.98	$524.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $380.19	Professional		$181.97	$275.42	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $1,659.59	Facility		$218.78	$380.19	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $1,513.56	Professional		$208.93	$245.47	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $1,905.46	Facility		$190.55	$524.81	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Professional		$208.93	$245.47	$338.84