Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $229.09	Facility		$87.10	$117.49	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $213.80	Professional		$97.72	$123.03	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $162.18	Professional		$102.33	$123.03	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $281.84	Professional		$125.89	$194.98	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $371.54	Facility		$109.65	$165.96	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $831.76	Professional		$128.82	$165.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $218.78	Professional		$125.89	$147.91	$218.78