Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $199.53	Professional		$87.10	$134.90	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $269.15	Facility		$251.19	$263.03	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $281.84	Professional		$123.03	$123.03	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $602.56	Facility		$66.07	$190.55	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $1,318.26	Professional		$67.61	$134.90	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $218.78	Facility		$134.90	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $181.97	Professional		$85.11	$134.90	$181.97