Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $141.25	Professional		$67.61	$91.20	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $95.50	Professional		$52.48	$81.28	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $147.91	Professional		$104.71	$123.03	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $173.78	Professional		$69.18	$102.33	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $186.21	Facility		$74.13	$97.72	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $630.96	Professional		$93.33	$138.04	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $169.82	Professional		$89.13	$112.20	$169.82