Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $133.09 / $193.85	Facility		$105.95	$133.09	$193.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $129.16 / $159.00	Professional		$107.23	$129.16	$159.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $142.12 / $168.62	Professional		$120.44	$142.12	$168.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $141.59 / $179.26	Professional		$130.55	$141.59	$179.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $153.00 / $253.14	Professional		$124.23	$153.00	$253.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $167.42 / $308.24	Facility		$120.44	$167.42	$308.24
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,334.80 / $1,334.80 / $1,334.80	Facility	25	$1,334.80	$1,334.80	$1,334.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $147.36 / $827.90	Professional		$119.33	$147.36	$827.90
United Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $140.38 / $186.68	Professional		$113.64	$140.38	$186.68