Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $117.01 / $165.43	Professional		$111.22	$117.01	$165.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $107.31 / $119.00	Professional		$107.31	$107.31	$119.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $690.96 / $1,057.58	Facility		$501.61	$690.96	$1,057.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $161.88 / $193.71	Professional		$120.40	$161.88	$193.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Facility		$285.00	$285.00	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $149.58 / $205.66	Professional		$118.88	$149.58	$205.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $145.87 / $216.10	Facility		$105.33	$145.87	$216.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $137.28 / $1,165.68	Professional		$106.48	$137.28	$1,165.68
United Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $127.76 / $208.25	Professional		$102.21	$127.76	$208.25