Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $96.00 / $125.10	Professional		$75.40	$96.00	$125.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $75.87 / $115.99	Professional		$68.28	$75.87	$115.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $98.58 / $137.44	Professional		$65.09	$98.58	$137.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $100.00 / $151.76	Professional		$68.00	$100.00	$151.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $125.11 / $164.17	Facility		$91.76	$125.11	$164.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $136.22 / $656.42	Professional		$88.97	$136.22	$656.42
United Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $117.67 / $117.67	Facility		$117.67	$117.67	$117.67
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $107.19 / $174.72	Professional		$85.75	$107.19	$174.72