Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $121.96 / $148.80	Facility		$78.08	$121.96	$148.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $124.92 / $160.32	Professional		$103.43	$124.92	$160.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $180.00	Professional		$130.00	$130.00	$180.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $355.76 / $515.30	Facility		$264.89	$355.76	$515.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $111.85 / $180.21	Facility		$111.85	$111.85	$180.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $135.61 / $203.76	Professional		$98.19	$135.61	$203.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.47 / $123.06 / $174.40	Facility		$83.47	$123.06	$174.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $171.79 / $1,024.30	Professional		$128.84	$171.79	$1,024.30
United Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $163.19 / $257.69	Professional		$137.43	$163.19	$257.69