Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $94.34 / $120.37	Facility		$83.24	$94.34	$120.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $123.84 / $162.28	Professional		$97.88	$123.84	$162.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $112.85 / $216.92	Professional		$92.87	$112.85	$216.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $122.16 / $149.65	Facility		$122.16	$122.16	$149.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $104.64 / $134.54	Professional		$79.86	$104.64	$134.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $136.29 / $275.87	Professional		$100.00	$136.29	$275.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $130.97 / $210.52	Facility		$110.99	$130.97	$210.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $161.83 / $794.81	Professional		$116.70	$161.83	$794.81
United Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $134.05 / $248.40	Professional		$114.41	$134.05	$248.40