Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $190.55	Facility		$56.23	$75.86	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $162.18	Professional		$57.54	$79.43	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $104.71	Professional		$63.10	$75.86	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $95.50	Professional		$69.18	$72.44	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $138.04	Professional		$69.18	$89.13	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $208.93	Facility		$77.62	$95.50	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $478.63	Professional		$63.10	$85.11	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $102.33	Professional		$60.26	$74.13	$102.33