Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $724.44	Facility		$295.12	$380.19	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $1,445.44	Professional		$204.17	$223.87	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $851.14	Facility		$177.83	$416.87	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $446.68	Professional		$165.96	$204.17	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $234.42	Facility		$204.17	$204.17	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Professional		$204.17	$204.17	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $1,023.29	Facility		$204.17	$213.80	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $208.93	Professional		$186.21	$204.17	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $204.17	Facility		$81.28	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17