Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.42 / $344.42 / $344.42	Facility		$344.42	$344.42	$344.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.42 / $344.42 / $393.62	Professional		$344.42	$344.42	$393.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $682.33 / $682.33 / $802.74	Professional		$682.33	$682.33	$802.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.10 / $702.90 / $702.90	Professional		$573.10	$702.90	$702.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $497.30	Professional		$278.88	$382.03	$497.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $482.13 / $3,201.26	Facility		$193.91	$482.13	$3,201.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $396.91 / $783.92	Professional		$200.24	$396.91	$783.92
United Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $361.96 / $452.54	Professional		$200.24	$361.96	$452.54