Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $165.96	Facility		$109.65	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $245.47	Professional		$112.20	$147.91	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $169.82	Professional		$95.50	$125.89	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Facility		$162.18	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $213.80	Professional		$147.91	$181.97	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $257.04	Professional		$75.86	$144.54	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $234.42	Facility		$138.04	$165.96	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $1,096.48	Professional		$120.23	$190.55	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $125.89 / $131.83	Facility		$114.82	$125.89	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $239.88	Professional		$114.82	$162.18	$239.88