Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.72 / $260.72 / $260.72	Facility		$260.72	$260.72	$260.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $181.52 / $290.43	Professional		$111.68	$181.52	$290.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $260.06 / $260.06	Professional		$260.06	$260.06	$260.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.80 / $290.32 / $308.82	Facility		$275.80	$290.32	$308.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $304.83 / $304.83	Professional		$304.83	$304.83	$304.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $669.84	Professional		$170.08	$232.98	$669.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $279.44 / $1,951.09	Facility		$111.68	$279.44	$1,951.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $198.54 / $442.97	Professional		$115.32	$198.54	$442.97
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $172.98 / $266.56	Professional		$115.32	$172.98	$266.56