Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.77 / $260.77 / $338.00	Facility		$260.77	$260.77	$338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $274.14 / $315.30	Professional		$260.77	$274.14	$315.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $289.52 / $292.02	Professional		$89.62	$289.52	$292.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.78 / $206.78 / $253.30	Facility		$206.78	$206.78	$253.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $180.93 / $232.62	Professional		$142.16	$180.93	$232.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $279.06 / $438.03	Facility		$258.58	$279.06	$438.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47