Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $257.04	Facility		$77.62	$102.33	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $323.59	Professional		$70.79	$112.20	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $134.90	Professional		$83.18	$107.15	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $489.78	Facility		$102.33	$134.90	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $154.88	Professional		$69.18	$100.00	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $213.80	Professional		$89.13	$123.03	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $186.21	Facility		$83.18	$114.82	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $741.31	Professional		$104.71	$169.82	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $109.65	Facility		$70.79	$85.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $199.53	Professional		$87.10	$117.49	$199.53