Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $164.81 / $249.18	Facility		$164.81	$164.81	$249.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $149.83 / $282.77	Professional		$141.38	$149.83	$282.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $113.59 / $113.59	Professional		$113.59	$113.59	$113.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $524.15 / $830.32	Facility		$138.02	$524.15	$830.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $141.02 / $934.41	Professional		$96.95	$141.02	$934.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $167.46 / $214.26	Facility		$149.83	$167.46	$214.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $176.27 / $176.42	Professional		$166.13	$176.27	$176.42
United Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $176.27 / $176.42	Professional		$166.13	$176.27	$176.42