Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $467.74	Facility		$416.87	$436.52	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $426.58	Professional		$173.78	$173.78	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $831.76	Facility		$107.15	$257.04	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $1,862.09	Professional		$109.65	$181.97	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $295.12	Facility		$218.78	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $257.04	Professional		$123.03	$181.97	$257.04