Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $758.58	Facility		$177.83	$204.17	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $281.84	Professional		$173.78	$173.78	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $173.78	Facility		$162.18	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $263.03	Facility		$109.65	$177.83	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $2,951.21	Professional		$173.78	$181.97	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Facility		$173.78	$173.78	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $194.98	Professional		$165.96	$173.78	$194.98