Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $596.52 / $1,111.15	Facility		$150.19	$596.52	$1,111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $180.00 / $250.00	Professional		$100.68	$180.00	$250.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $87.22	Professional		$87.22	$87.22	$87.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $206.04 / $290.66	Facility		$175.13	$206.04	$290.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.69 / $277.69 / $277.69	Professional		$277.69	$277.69	$277.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $274.00 / $343.00	Facility		$230.00	$274.00	$343.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $300.51	Professional		$78.91	$78.91	$300.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $155.80 / $282.91	Facility		$100.68	$155.80	$282.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $257.27 / $917.85	Professional		$176.70	$257.27	$917.85
United Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $241.96 / $500.08	Professional		$170.18	$241.96	$500.08