Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $1,071.52	Facility		$275.42	$338.84	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $489.78	Professional		$181.97	$190.55	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $489.78 / $724.44	Facility		$151.36	$489.78	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $851.14	Professional		$173.78	$346.74	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $426.58	Facility		$177.83	$257.04	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $288.40	Facility		$151.36	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97