Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $954.99	Facility		$100.00	$125.89	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $147.91	Professional		$91.20	$107.15	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $93.33	Professional		$70.79	$91.20	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $131.83	Facility		$125.89	$128.82	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $123.03	Facility		$53.70	$107.15	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $114.82	Professional		$102.33	$112.20	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $117.49	Professional		$95.50	$114.82	$117.49