Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.09 / $336.09 / $336.09	Facility		$336.09	$336.09	$336.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $220.20 / $336.09	Professional		$109.77	$220.20	$336.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $304.39 / $304.39	Professional		$271.93	$304.39	$304.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.94 / $256.77 / $273.13	Facility		$243.94	$256.77	$273.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $274.75 / $274.75	Professional		$274.75	$274.75	$274.75
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 / $229.50 / $614.53	Professional		$167.54	$229.50	$614.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $327.08 / $1,920.53	Facility		$109.77	$327.08	$1,920.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $202.48 / $518.52	Professional		$113.35	$202.48	$518.52
United Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $198.37 / $271.19	Professional		$113.35	$198.37	$271.19