Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.43 / $422.43 / $422.43	Facility		$422.43	$422.43	$422.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $276.76 / $422.43	Professional		$164.30	$276.76	$422.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $382.60 / $382.60 / $382.60	Professional		$382.60	$382.60	$382.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.99 / $410.52 / $436.68	Facility		$389.99	$410.52	$436.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.05 / $431.05 / $431.05	Professional		$431.05	$431.05	$431.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $985.78	Professional		$263.86	$361.45	$985.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $411.12 / $2,665.73	Facility		$164.30	$411.12	$2,665.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $254.50 / $651.73	Professional		$169.66	$254.50	$651.73
United Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $254.50 / $372.57	Professional		$169.66	$254.50	$372.57