Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.72 / $104.44 / $118.46	Facility		$72.72	$104.44	$118.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $91.51 / $120.65	Professional		$74.66	$91.51	$120.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $75.61 / $108.88	Professional		$67.84	$75.61	$108.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $127.22 / $127.22	Facility		$108.14	$127.22	$127.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $122.96 / $149.22	Professional		$101.26	$122.96	$149.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $98.90 / $169.82	Professional		$68.00	$98.90	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $101.14 / $149.33	Facility		$86.70	$101.14	$149.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $136.25 / $656.42	Professional		$87.18	$136.25	$656.42
United Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $117.91 / $172.84	Professional		$87.18	$117.91	$172.84