Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $204.69 / $499.00	Professional		$177.50	$204.69	$499.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.81 / $408.97 / $454.41	Professional		$340.81	$408.97	$454.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $430.96 / $779.15	Facility		$119.30	$430.96	$779.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.25 / $397.66 / $521.92	Professional		$298.25	$397.66	$521.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $491.63	Professional		$167.54	$167.54	$491.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $303.63 / $1,920.53	Facility		$109.77	$303.63	$1,920.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $170.03 / $256.12	Professional		$153.52	$170.03	$256.12
United Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $170.03 / $256.12	Professional		$153.66	$170.03	$256.12