Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $143.00 / $217.72	Facility		$115.15	$143.00	$217.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $121.90 / $153.93	Professional		$96.01	$121.90	$153.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $109.98 / $162.22	Professional		$85.96	$109.98	$162.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $172.55 / $214.24	Professional		$142.10	$172.55	$214.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $168.82 / $250.00	Professional		$98.00	$168.82	$250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $135.28 / $167.75	Facility		$116.53	$135.28	$167.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $200.13 / $911.03	Professional		$108.63	$200.13	$911.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $140.50 / $230.24	Professional		$100.68	$140.50	$230.24