Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $467.99 / $9,553.75	Facility		$228.05	$467.99	$9,553.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $188.06 / $467.99	Professional		$176.44	$188.06	$467.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.89 / $238.83 / $685.10	Facility		$226.89	$238.83	$685.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $190.74 / $190.74	Professional		$190.74	$190.74	$190.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $300.00	Facility		$166.46	$176.45	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $230.03 / $467.99	Facility		$155.41	$230.03	$467.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $173.02 / $2,475.46	Professional		$155.41	$173.02	$2,475.46
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $220.74	Professional		$176.45	$187.04	$220.74