Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $239.88 / $691.83	Facility		$109.65	$239.88	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $323.59	Professional		$257.04	$263.03	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $190.55	Professional		$134.90	$134.90	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $478.63	Facility		$64.57	$275.42	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $389.05	Professional		$269.15	$269.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15