Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $174.19 / $477.48	Facility		$74.34	$174.19	$477.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $174.18 / $219.25	Professional		$167.74	$174.18	$219.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.29 / $294.70 / $294.70	Professional		$276.29	$294.70	$294.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.57 / $322.57 / $322.57	Professional		$322.57	$322.57	$322.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $302.89 / $340.55	Professional		$170.35	$302.89	$340.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $221.26 / $1,920.30	Facility		$117.58	$221.26	$1,920.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $192.05 / $542.99	Professional		$121.42	$192.05	$542.99
United Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $176.11 / $542.99	Professional		$121.42	$176.11	$542.99