Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $211.43 / $475.70	Facility		$126.25	$211.43	$475.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $105.80 / $127.73	Professional		$100.98	$105.80	$127.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $114.69 / $171.35	Professional		$114.69	$114.69	$171.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $118.33 / $118.33	Professional		$118.33	$118.33	$118.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.18 / $188.18 / $188.18	Facility		$188.18	$188.18	$188.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $129.86 / $177.33	Professional		$85.84	$129.86	$177.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $134.21 / $184.50	Facility		$109.90	$134.21	$184.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $130.63 / $664.64	Professional		$107.31	$130.63	$664.64
United Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $116.21 / $210.75	Professional		$105.38	$116.21	$210.75