Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $1,096.48	Professional		$165.96	$218.78	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $363.08 / $501.19	Professional		$36.31	$363.08	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $616.60	Facility		$128.82	$309.03	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $933.25	Professional		$371.54	$489.78	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $1,047.13	Facility		$117.49	$275.42	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $2,570.40	Professional		$138.04	$181.97	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $389.05	Facility		$87.10	$239.88	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $537.03	Professional		$141.25	$181.97	$537.03