Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $314.38 / $314.38	Facility		$314.38	$314.38	$314.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.37 / $314.38 / $359.30	Professional		$314.37	$314.38	$359.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $622.80 / $622.80	Professional		$622.80	$622.80	$622.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.12 / $641.60 / $641.60	Professional		$523.12	$641.60	$641.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $525.17	Professional		$321.24	$440.05	$525.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $440.08 / $3,490.95	Facility		$215.25	$440.08	$3,490.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $440.60 / $772.15	Professional		$222.28	$440.60	$772.15
United Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $349.25 / $502.25	Professional		$222.28	$349.25	$502.25