Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $179.40 / $193.47	Facility		$111.03	$179.40	$193.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $193.47	Professional		$156.97	$156.97	$193.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $114.75 / $114.75	Professional		$114.75	$114.75	$114.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $124.66 / $131.22	Facility		$108.93	$124.66	$131.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $133.74 / $133.74	Professional		$133.74	$133.74	$133.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $172.37 / $172.37	Professional		$55.00	$172.37	$172.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $146.35 / $200.50	Facility		$47.97	$146.35	$200.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $181.60 / $184.68	Professional		$164.37	$181.60	$184.68
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $168.44 / $184.68	Professional		$149.63	$168.44	$184.68