Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.67 / $299.67 / $299.67	Facility		$299.67	$299.67	$299.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.47 / $260.14	Professional		$157.46	$157.47	$260.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $164.80 / $164.80	Professional		$164.80	$164.80	$164.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $466.21 / $816.92	Facility		$124.86	$466.21	$816.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $110.53 / $124.34	Professional		$96.71	$110.53	$124.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $231.04 / $392.63	Facility		$169.15	$231.04	$392.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $244.81 / $629.04	Professional		$167.86	$244.81	$629.04
United Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $237.35 / $387.53	Professional		$166.46	$237.35	$387.53