Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $88.14 / $532.59	Facility		$63.66	$88.14	$532.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $81.45 / $109.15	Professional		$62.73	$81.45	$109.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $110.12 / $136.88	Professional		$81.56	$110.12	$136.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.41 / $436.56 / $681.08	Facility		$278.41	$436.56	$681.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $80.84 / $111.02	Professional		$61.19	$80.84	$111.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $94.90 / $94.90	Facility		$94.90	$94.90	$94.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $94.62 / $138.46	Professional		$62.16	$94.62	$138.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $94.99 / $940.92	Facility		$63.66	$94.99	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $98.88 / $659.04	Professional		$72.79	$98.88	$659.04
United Facility/Professional Facility Modifier Low / Median / High Price $117.08 / $607.00 / $1,883.00	Facility		$117.08	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $88.58 / $128.19	Professional		$70.16	$88.58	$128.19