Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.10 / $517.10 / $517.10	Facility		$517.10	$517.10	$517.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $338.79 / $517.10	Professional		$201.12	$338.79	$517.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $468.35 / $468.35 / $468.35	Professional		$468.35	$468.35	$468.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.84 / $504.04 / $536.16	Facility		$478.84	$504.04	$536.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.24 / $529.24 / $529.24	Professional		$529.24	$529.24	$529.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $1,082.33	Professional		$382.28	$382.28	$1,082.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $503.26 / $3,359.73	Facility		$201.12	$503.26	$3,359.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $311.54 / $797.78	Professional		$207.69	$311.54	$797.78
United Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $311.54 / $435.63	Professional		$207.69	$311.54	$435.63