Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $891.25	Facility		$204.17	$208.93	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Professional		$204.17	$263.03	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $257.04	Facility		$245.47	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $204.17	Facility		$194.98	$199.53	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $263.03	Professional		$199.53	$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 $81.28 / $204.17 / $229.09	Professional		$81.28	$204.17	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $213.80	Facility		$81.28	$204.17	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $229.09	Professional		$81.28	$204.17	$229.09