Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $70.43 / $191.58	Facility		$56.75	$70.43	$191.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $75.13 / $89.79	Professional		$56.75	$75.13	$89.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $88.18 / $104.62	Professional		$74.73	$88.18	$104.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $74.78 / $94.68	Professional		$68.95	$74.78	$94.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $87.29 / $138.08	Professional		$69.33	$87.29	$138.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $98.77 / $174.15	Facility		$78.20	$98.77	$174.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $81.59 / $476.33	Professional		$63.19	$81.59	$476.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $77.81 / $103.11	Professional		$60.60	$77.81	$103.11