Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $157.77 / $604.79	Facility		$157.77	$157.77	$604.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $96.12 / $291.92	Professional		$84.16	$96.12	$291.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $115.30 / $115.30	Professional		$75.77	$115.30	$115.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $109.56 / $182.56	Facility		$27.90	$109.56	$182.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $72.98 / $91.24	Professional		$54.74	$72.98	$91.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $167.86 / $212.35	Facility		$75.09	$167.86	$212.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $113.24 / $186.25	Professional		$75.78	$113.24	$186.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $111.74 / $243.85	Facility		$82.36	$111.74	$243.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $107.49 / $1,285.65	Professional		$89.80	$107.49	$1,285.65
United Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $99.73 / $171.40	Professional		$89.80	$99.73	$171.40