Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.43 / $993.83 / $3,130.00	Facility		$498.43	$993.83	$3,130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $289.83 / $498.43	Professional		$202.95	$289.83	$498.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.11 / $352.11 / $868.54	Professional		$352.11	$352.11	$868.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.96 / $525.96 / $525.96	Professional		$525.96	$525.96	$525.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.17 / $404.10 / $626.67	Facility		$255.17	$404.10	$626.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $3,033.62	Professional		$520.75	$520.75	$3,033.62
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $586.21	Professional		$520.75	$520.75	$586.21