Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $269.15	Professional		$141.25	$194.98	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $263.03	Professional		$181.97	$239.88	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $288.40	Facility		$257.04	$275.42	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $380.19	Professional		$147.91	$147.91	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $229.09 / $724.44	Facility		$104.71	$229.09	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $2,137.96	Professional		$107.15	$165.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $269.15	Facility		$218.78	$263.03	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $251.19	Professional		$107.15	$162.18	$251.19