Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $363.08	Facility		$91.20	$123.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $190.55	Professional		$79.43	$104.71	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $758.58	Facility		$389.05	$575.44	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $323.59	Facility		$79.43	$79.43	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $208.93	Professional		$67.61	$123.03	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $239.88	Facility		$91.20	$131.83	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $181.97	Professional		$51.29	$69.18	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $144.54	Facility		$51.29	$123.03	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $100.00	Professional		$51.29	$63.10	$100.00