Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $176.07 / $258.31	Facility		$65.59	$176.07	$258.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $187.05 / $258.31	Professional		$147.50	$187.05	$258.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $233.96 / $233.96	Professional		$209.00	$233.96	$233.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $271.73 / $271.73	Professional		$271.73	$271.73	$271.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $214.16	Facility		$214.16	$214.16	$214.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $451.88	Professional		$156.34	$214.16	$451.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.24 / $244.91 / $1,620.96	Facility		$169.24	$244.91	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $415.06	Professional		$103.75	$155.62	$415.06
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $170.91 / $259.37	Facility		$0.25	$170.91	$259.37
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $244.15	Professional		$103.75	$155.62	$244.15