Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $193.85 / $268.73	Facility		$192.18	$193.85	$268.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $224.82 / $298.18	Professional		$163.88	$224.82	$298.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $244.05 / $287.12	Professional		$173.01	$244.05	$287.12
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $258.31 / $258.31 / $258.31	Professional	25	$258.31	$258.31	$258.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $333.10 / $421.64	Professional		$297.79	$333.10	$421.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $295.52 / $462.80	Professional		$188.40	$295.52	$462.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.88 / $228.10 / $412.26	Facility		$163.88	$228.10	$412.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.85 / $352.41 / $1,749.17	Professional		$256.85	$352.41	$1,749.17
United Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $292.64 / $420.20	Professional		$248.02	$292.64	$420.20