Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $741.31	Facility		$302.00	$389.05	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $275.42	Professional		$208.93	$213.80	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $331.13 / $758.58	Facility		$114.82	$331.13	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $363.08	Professional		$177.83	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Facility		$208.93	$208.93	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $380.19	Facility		$204.17	$229.09	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $912.01	Professional		$204.17	$204.17	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $338.84	Facility		$204.17	$208.93	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $234.42	Professional		$204.17	$208.93	$234.42