Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.25 / $353.25 / $353.25	Facility		$353.25	$353.25	$353.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $239.11 / $353.25	Professional		$180.38	$239.11	$353.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $160.01 / $160.01	Professional		$160.01	$160.01	$160.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.81 / $829.81 / $829.81	Professional		$829.81	$829.81	$829.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $253.86	Facility		$193.40	$193.40	$253.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $193.40 / $407.81	Professional		$23.77	$193.40	$407.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $330.70 / $1,288.56	Facility		$46.41	$330.70	$1,288.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $42.62 / $249.70	Professional		$11.40	$42.62	$249.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $47.54 / $250.68	Professional		$13.06	$47.54	$250.68