Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $151.36	Facility		$87.10	$117.49	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $151.36	Professional		$70.79	$107.15	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $138.04	Professional		$74.13	$107.15	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $138.04	Professional		$95.50	$109.65	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $199.53	Professional		$87.10	$128.82	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $204.17	Facility		$89.13	$134.90	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $741.31	Professional		$114.82	$162.18	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $114.82	Facility		$64.57	$100.00	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $177.83	Professional		$95.50	$125.89	$177.83