Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.37 / $102.37 / $102.37	Facility		$102.37	$102.37	$102.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $102.37 / $104.51	Professional		$73.42	$102.37	$104.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $92.01 / $100.00	Professional		$78.20	$92.01	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $139.77 / $157.72	Professional		$107.80	$139.77	$157.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $33.36 / $219.86	Facility		$32.39	$33.36	$219.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $108.36 / $167.79	Professional		$63.55	$108.36	$167.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.83 / $107.49 / $148.54	Facility		$88.83	$107.49	$148.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $106.53 / $758.33	Professional		$63.82	$106.53	$758.33
United Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $125.23 / $148.54	Facility		$26.18	$125.23	$148.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $102.98 / $179.92	Professional		$63.82	$102.98	$179.92