Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $181.97 / $562.34	Facility		$70.79	$181.97	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $218.78	Professional		$38.90	$109.65	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $109.65 / $223.87	Facility		$45.71	$109.65	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $186.21	Professional		$38.02	$89.13	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $117.49 / $239.88	Professional		$43.65	$117.49	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $114.82 / $234.42	Facility		$42.66	$114.82	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $1,148.15	Professional		$114.82	$186.21	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $97.72	Facility		$33.88	$33.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $104.71 / $208.93	Professional		$39.81	$104.71	$208.93