Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.63 / $173.63 / $173.63	Facility		$173.63	$173.63	$173.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $208.93 / $314.70	Professional		$171.43	$208.93	$314.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $188.54 / $188.54	Professional		$188.54	$188.54	$188.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.03 / $255.03 / $300.02	Professional		$255.03	$255.03	$300.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $208.93 / $513.79	Facility		$177.10	$208.93	$513.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $285.89 / $1,287.73	Professional		$214.37	$285.89	$1,287.73
United Facility/Professional Professional Modifier Low / Median / High Price $209.21 / $267.44 / $428.74	Professional		$209.21	$267.44	$428.74