Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $103.50 / $263.80	Facility		$32.00	$103.50	$263.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $149.88 / $182.22	Professional		$117.31	$149.88	$182.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $260.00	Professional		$85.00	$100.00	$260.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $25.70 / $31.50	Facility		$19.48	$25.70	$31.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $195.02 / $494.76	Facility		$133.16	$195.02	$494.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $172.51 / $269.05	Professional		$112.69	$172.51	$269.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $179.87 / $321.52	Facility		$143.88	$179.87	$321.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $188.97 / $1,024.30	Professional		$152.33	$188.97	$1,024.30
United Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $171.79 / $292.04	Professional		$146.38	$171.79	$292.04