Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.72 / $410.68 / $634.58	Facility		$218.72	$410.68	$634.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $169.52 / $198.74	Professional		$99.37	$169.52	$198.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $119.24 / $119.24	Professional		$119.24	$119.24	$119.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $102.69 / $152.12	Facility		$95.63	$102.69	$152.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $172.92 / $172.92	Professional		$172.92	$172.92	$172.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $179.56 / $830.21	Facility		$77.22	$179.56	$830.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $207.38 / $263.37	Professional		$60.16	$207.38	$263.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $168.93 / $363.69	Facility		$109.98	$168.93	$363.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $119.24 / $166.03	Professional		$83.47	$119.24	$166.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $119.24 / $136.90	Professional		$83.47	$119.24	$136.90