Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.52 / $762.52 / $762.52	Facility		$762.52	$762.52	$762.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.57 / $499.58 / $762.52	Professional		$296.57	$499.58	$762.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $690.62 / $690.62 / $690.62	Professional		$690.62	$690.62	$690.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.37 / $801.81 / $878.80	Facility		$759.37	$801.81	$878.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.59 / $830.59 / $830.59	Professional		$830.59	$830.59	$830.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,462.50	Professional		$461.73	$632.51	$1,462.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $742.11 / $4,802.66	Facility		$296.57	$742.11	$4,802.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.26 / $459.39 / $1,176.40	Professional		$306.26	$459.39	$1,176.40
United Facility/Professional Professional Modifier Low / Median / High Price $306.26 / $459.39 / $615.27	Professional		$306.26	$459.39	$615.27