Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $98.81 / $98.81	Facility		$98.81	$98.81	$98.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $100.87 / $114.60	Professional		$79.75	$100.87	$114.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $102.19 / $102.19	Professional		$102.19	$102.19	$102.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $137.41 / $168.67	Professional		$102.20	$137.41	$168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $148.38 / $176.06	Professional		$94.88	$148.38	$176.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.03 / $102.90 / $169.33	Facility		$90.03	$102.90	$169.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $125.60 / $662.29	Professional		$97.86	$125.60	$662.29
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $124.48 / $206.41	Professional		$97.86	$124.48	$206.41