Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $371.54	Facility		$74.13	$83.18	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $338.84	Professional		$74.13	$117.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $158.49	Professional		$91.20	$109.65	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $309.03 / $457.09	Facility		$95.50	$309.03	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $190.55	Professional		$93.33	$104.71	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $223.87	Professional		$89.13	$123.03	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $229.09	Facility		$85.11	$112.20	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $707.95	Professional		$91.20	$154.88	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $208.93	Professional		$87.10	$104.71	$208.93