Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $246.18 / $271.25	Facility		$61.20	$246.18	$271.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $177.71 / $271.25	Professional		$99.68	$177.71	$271.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $245.68	Professional		$245.68	$245.68	$245.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.99 / $384.99 / $384.99	Professional		$384.99	$384.99	$384.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $216.42	Facility		$216.42	$216.42	$216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $486.09	Professional		$157.99	$216.42	$486.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $263.99 / $1,611.98	Facility		$99.68	$263.99	$1,611.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $163.41 / $418.51	Professional		$102.93	$163.41	$418.51
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $162.81 / $262.06	Facility		$0.25	$162.81	$262.06
United Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $163.41 / $218.89	Professional		$104.55	$163.41	$218.89