Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $302.95 / $625.69	Facility		$94.56	$302.95	$625.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $320.83	Professional		$256.67	$256.67	$320.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $192.50 / $256.67	Professional		$185.00	$192.50	$256.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $158.30 / $197.62	Facility		$126.60	$158.30	$197.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $120.27 / $120.27	Professional		$120.27	$120.27	$120.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.67 / $320.83 / $403.39	Facility		$256.67	$320.83	$403.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $1,219.19	Professional		$267.37	$267.37	$1,219.19
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $427.79	Professional		$267.37	$267.37	$427.79