Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.49 / $548.49 / $548.49	Facility		$548.49	$548.49	$548.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $402.62 / $548.49	Professional		$204.26	$402.62	$548.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $434.35 / $434.35	Professional		$434.35	$434.35	$434.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.75 / $622.75 / $622.75	Professional		$622.75	$622.75	$622.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $881.25	Professional		$47.85	$283.73	$881.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $513.48 / $3,331.13	Facility		$204.26	$513.48	$3,331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $303.48 / $526.40	Professional		$202.32	$303.48	$526.40
United Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $303.48 / $505.80	Professional		$202.32	$303.48	$505.80