Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $602.46 / $602.46	Facility		$602.46	$602.46	$602.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $419.44 / $671.10	Professional		$220.22	$419.44	$671.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $600.91 / $600.91	Professional		$600.91	$600.91	$600.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.12 / $634.86 / $675.32	Facility		$603.12	$634.86	$675.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.60 / $666.60 / $666.60	Professional		$666.60	$666.60	$666.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $1,125.00	Professional		$311.89	$427.25	$1,125.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $645.73 / $3,613.43	Facility		$220.22	$645.73	$3,613.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.41 / $458.76 / $1,023.60	Professional		$227.41	$458.76	$1,023.60
United Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $399.72 / $525.65	Professional		$266.48	$399.72	$525.65