Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $152.13 / $287.35	Facility		$64.41	$152.13	$287.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $57.28 / $72.15	Professional		$34.14	$57.28	$72.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $91.23 / $137.87	Facility		$24.34	$91.23	$137.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $102.62 / $174.23	Professional		$87.08	$102.62	$174.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $82.77 / $358.92	Facility		$42.33	$82.77	$358.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $92.41 / $155.00	Professional		$39.54	$92.41	$155.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $139.47	Facility		$58.40	$58.40	$139.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $52.59 / $131.40	Professional		$27.05	$52.59	$131.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $103.06	Professional		$27.05	$38.65	$103.06