Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $215.00	Facility		$215.00	$215.00	$215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $149.68 / $239.49	Professional		$77.55	$149.68	$239.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $214.45	Professional		$214.45	$214.45	$214.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.63 / $378.56 / $402.70	Facility		$359.63	$378.56	$402.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $341.65 / $341.65	Professional		$341.65	$341.65	$341.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $170.64 / $170.64	Facility		$170.64	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $395.63	Professional		$124.57	$170.64	$395.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $223.31 / $1,269.54	Facility		$77.55	$223.31	$1,269.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $152.83 / $365.26	Professional		$80.08	$152.83	$365.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $142.63 / $215.96	Professional		$95.10	$142.63	$215.96