Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.50 / $258.52 / $258.52	Facility		$220.50	$258.52	$258.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $187.34 / $438.39	Professional		$145.58	$187.34	$438.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $272.95 / $272.95	Professional		$272.95	$272.95	$272.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $184.90 / $334.30	Facility		$51.18	$184.90	$334.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $170.60 / $260.33	Professional		$127.95	$170.60	$260.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $194.92	Facility		$194.92	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $361.50	Professional		$142.29	$142.29	$361.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $253.63 / $1,620.96	Facility		$100.47	$253.63	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $155.62 / $234.42	Professional		$140.51	$155.62	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $155.62 / $234.42	Professional		$140.51	$155.62	$234.42