Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $416.87	Professional		$190.55	$269.15	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $407.38	Professional		$269.15	$398.11	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $602.56	Facility		$537.03	$575.44	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $467.74	Professional		$190.55	$190.55	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $371.54 / $1,202.26	Facility		$128.82	$371.54	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $2,691.53	Professional		$134.90	$269.15	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $426.58	Facility		$269.15	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $354.81	Professional		$165.96	$269.15	$354.81