Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $426.58	Facility		$107.15	$141.25	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $141.25	Professional		$93.33	$104.71	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $177.83	Professional		$70.79	$85.11	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $426.58	Facility		$218.78	$323.59	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $380.19	Facility		$93.33	$93.33	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $208.93	Professional		$60.26	$107.15	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $245.47	Facility		$104.71	$141.25	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $213.80	Professional		$60.26	$60.26	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $169.82	Facility		$60.26	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $93.33	Professional		$60.26	$60.26	$93.33