Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.54 / $390.54 / $390.54	Facility		$390.54	$390.54	$390.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $255.87 / $390.54	Professional		$128.93	$255.87	$390.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $353.72 / $353.72	Professional		$353.72	$353.72	$353.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.65 / $401.74 / $427.34	Facility		$381.65	$401.74	$427.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.83 / $421.83 / $421.83	Professional		$421.83	$421.83	$421.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $583.13	Professional		$184.40	$184.40	$583.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $380.10 / $2,114.14	Facility		$128.93	$380.10	$2,114.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $235.29 / $602.53	Professional		$133.13	$235.29	$602.53
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $233.00 / $329.01	Professional		$133.13	$233.00	$329.01