Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $3,801.89	Facility		$147.91	$186.21	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $245.47	Professional		$173.78	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $295.12	Facility		$114.82	$181.97	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Facility		$162.18	$162.18	$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 $120.23 / $186.21 / $302.00	Facility		$120.23	$186.21	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $2,951.21	Professional		$151.36	$173.78	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $194.98	Professional		$165.96	$173.78	$194.98