Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $144.72 / $144.72	Facility		$69.39	$144.72	$144.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $118.38 / $351.67	Professional		$76.34	$118.38	$351.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $117.90 / $171.97	Professional		$95.45	$117.90	$171.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $391.49 / $620.17	Facility		$103.09	$391.49	$620.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $96.03 / $108.04	Professional		$72.02	$96.03	$108.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $122.26 / $224.49	Professional		$89.97	$122.26	$224.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $112.29 / $229.13	Facility		$87.13	$112.29	$229.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $114.66 / $707.45	Professional		$90.19	$114.66	$707.45
United Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $105.84 / $207.41	Professional		$90.10	$105.84	$207.41