Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.54 / $489.54 / $489.54	Facility		$489.54	$489.54	$489.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $320.73 / $489.54	Professional		$179.74	$320.73	$489.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.39 / $443.39 / $443.39	Professional		$443.39	$443.39	$443.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.38 / $477.21 / $506.17	Facility		$437.38	$477.21	$506.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.67 / $473.67 / $473.67	Professional		$473.67	$473.67	$473.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $929.06	Professional		$305.89	$419.04	$929.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $476.46 / $2,961.69	Facility		$179.74	$476.46	$2,961.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.61 / $294.93 / $755.28	Professional		$185.61	$294.93	$755.28
United Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $294.93 / $395.01	Professional		$188.54	$294.93	$395.01