Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $467.74	Facility		$120.23	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $141.25	Professional		$87.10	$107.15	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $190.55	Professional		$95.50	$151.36	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $251.19	Facility		$120.23	$147.91	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $1,862.09	Professional		$109.65	$144.54	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $181.97	Professional		$109.65	$125.89	$181.97