Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $147.91	Facility		$77.62	$128.82	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Professional		$102.33	$144.54	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $208.93	Professional		$70.79	$123.03	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $512.86	Facility		$263.03	$389.05	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $407.38	Facility		$112.20	$112.20	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $257.04	Professional		$93.33	$141.25	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $338.84	Facility		$79.43	$125.89	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $1,023.29	Professional		$128.82	$169.82	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $218.78	Facility		$37.15	$95.50	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $204.17	Professional		$131.83	$162.18	$204.17