Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $407.38	Facility		$144.54	$245.47	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $331.13	Professional		$117.49	$141.25	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $134.90	Professional		$83.18	$125.89	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $371.54 / $549.54	Facility		$117.49	$371.54	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $616.60	Professional		$128.82	$257.04	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $134.90 / $190.55	Facility		$46.77	$134.90	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $141.25	Professional		$131.83	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $218.78	Facility		$134.90	$134.90	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $141.25	Professional		$131.83	$141.25	$141.25