Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $199.44 / $1,409.18	Facility		$146.26	$199.44	$1,409.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $155.72 / $180.11	Professional		$110.54	$155.72	$180.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $185.79 / $255.10	Professional		$125.96	$185.79	$255.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $212.45 / $223.00	Professional		$162.40	$212.45	$223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $158.85 / $247.71	Professional		$142.13	$158.85	$247.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.96 / $200.35 / $390.00	Facility		$132.96	$200.35	$390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $189.50 / $2,519.00	Professional		$151.65	$189.50	$2,519.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $180.88 / $261.47	Professional		$143.30	$180.88	$261.47