Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $113.56 / $148.90	Facility		$95.93	$113.56	$148.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $140.25 / $188.86	Professional		$109.50	$140.25	$188.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $142.11 / $166.91	Professional		$111.68	$142.11	$166.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $165.45 / $165.45 / $165.45	Professional	25	$165.45	$165.45	$165.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $112.82 / $138.19	Facility		$112.82	$112.82	$138.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $159.41 / $199.27	Professional		$115.58	$159.41	$199.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.37 / $246.37 / $246.37	Facility		$246.37	$246.37	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $149.66 / $250.94	Professional		$98.00	$149.66	$250.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $161.09 / $259.64	Facility		$127.90	$161.09	$259.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $174.18 / $1,103.45	Professional		$125.80	$174.18	$1,103.45
United Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $152.71 / $234.79	Professional		$121.19	$152.71	$234.79