Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.81 / $286.81 / $286.81	Facility		$286.81	$286.81	$286.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $199.68 / $319.48	Professional		$122.85	$199.68	$319.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $286.07 / $286.07	Professional		$286.07	$286.07	$286.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.56 / $502.69 / $534.73	Facility		$477.56	$502.69	$534.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.68 / $453.68 / $453.68	Professional		$453.68	$453.68	$453.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $552.66	Professional		$181.08	$248.05	$552.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $304.02 / $2,003.74	Facility		$122.85	$304.02	$2,003.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $218.40 / $487.31	Professional		$126.86	$218.40	$487.31
United Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $190.30 / $293.23	Professional		$126.86	$190.30	$293.23