Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.90 / $363.90 / $363.90	Facility		$363.90	$363.90	$363.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $267.12 / $363.90	Professional		$142.71	$267.12	$363.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $345.94 / $352.01	Professional		$345.94	$345.94	$352.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $441.95 / $441.95	Professional		$441.95	$441.95	$441.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $319.50	Facility		$243.42	$243.42	$319.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $243.42 / $539.05	Professional		$243.42	$243.42	$539.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $340.67 / $1,745.64	Facility		$159.68	$340.67	$1,745.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $201.47 / $367.19	Professional		$121.78	$201.47	$367.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $220.31 / $373.10	Professional		$134.32	$220.31	$373.10