Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.11 / $328.11 / $328.11	Facility		$328.11	$328.11	$328.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $228.43 / $365.49	Professional		$140.54	$228.43	$365.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.27 / $327.27 / $327.27	Professional		$327.27	$327.27	$327.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.86 / $389.46 / $426.86	Facility		$368.86	$389.46	$426.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $403.44 / $403.44	Professional		$403.44	$403.44	$403.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $698.44	Professional		$227.60	$311.77	$698.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $351.67 / $2,310.33	Facility		$140.54	$351.67	$2,310.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $249.85 / $557.48	Professional		$145.13	$249.85	$557.48
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $217.69 / $335.46	Professional		$145.13	$217.69	$335.46