Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Professional		$213.80	$288.40	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Professional		$446.68	$446.68	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.14 / $22.91	Facility		$13.80	$15.14	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $831.76	Professional		$302.00	$380.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $2,137.96	Facility		$208.93	$338.84	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $467.74	Professional		$208.93	$302.00	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $204.17 / $346.74	Facility		$24.55	$204.17	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $467.74	Professional		$223.87	$295.12	$467.74