Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $294.20 / $294.20	Facility		$294.20	$294.20	$294.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $142.03 / $294.20	Professional		$77.23	$142.03	$294.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $199.85 / $199.85	Professional		$199.85	$199.85	$199.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.54 / $207.88 / $220.50	Facility		$190.54	$207.88	$220.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.34 / $206.34 / $206.34	Professional		$206.34	$206.34	$206.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $386.25	Professional		$130.22	$178.39	$386.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $230.29 / $1,247.08	Facility		$77.23	$230.29	$1,247.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $142.43 / $340.43	Professional		$79.76	$142.43	$340.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $132.94 / $204.85	Professional		$79.76	$132.94	$204.85