Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $154.87 / $154.87	Facility		$154.87	$154.87	$154.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $116.47 / $179.25	Professional		$89.34	$116.47	$179.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $114.76 / $120.01	Professional		$90.01	$114.76	$120.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $139.40 / $198.07	Professional		$114.80	$139.40	$198.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $134.00 / $198.32	Professional		$90.00	$134.00	$198.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $128.35 / $257.11	Facility		$100.20	$128.35	$257.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $181.87 / $817.07	Professional		$123.62	$181.87	$817.07
United Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $160.32 / $254.07	Professional		$117.06	$160.32	$254.07