Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $198.36 / $198.36	Facility		$198.36	$198.36	$198.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.36 / $198.36 / $226.70	Professional		$198.36	$198.36	$226.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $392.96 / $462.31	Professional		$392.96	$392.96	$462.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $404.82 / $404.82	Professional		$330.06	$404.82	$404.82
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 / $250.00	Professional		$170.08	$232.98	$250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $277.67 / $1,951.09	Facility		$111.68	$277.67	$1,951.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $228.59 / $451.48	Professional		$115.32	$228.59	$451.48
United Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $208.46 / $260.57	Professional		$144.15	$208.46	$260.57