Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $142.47 / $174.40	Facility		$113.45	$142.47	$174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $142.06 / $177.44	Professional		$111.68	$142.06	$177.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $115.80 / $156.83	Professional		$94.51	$115.80	$156.83
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $30.26 / $140.02 / $140.02	Professional	52	$30.26	$140.02	$140.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.80 / $169.18 / $169.18	Facility		$143.80	$169.18	$169.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $154.07 / $209.68	Professional		$126.88	$154.07	$209.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $138.90 / $253.00	Professional		$75.00	$138.90	$253.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $164.09 / $212.18	Facility		$137.44	$164.09	$212.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $191.85 / $1,103.45	Professional		$124.59	$191.85	$1,103.45
United Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $176.86 / $246.67	Professional		$109.08	$176.86	$246.67