Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $87.65 / $109.61	Facility		$87.65	$87.65	$109.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $108.09 / $141.94	Professional		$77.20	$108.09	$141.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $134.50 / $134.50	Professional		$106.48	$134.50	$134.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.50 / $174.50 / $174.50	Professional		$174.50	$174.50	$174.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $131.38 / $184.81	Professional		$89.51	$131.38	$184.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $139.81 / $182.85	Facility		$87.65	$139.81	$182.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $145.27 / $746.21	Professional		$107.06	$145.27	$746.21
United Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $132.25 / $170.13	Professional		$100.76	$132.25	$170.13