Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $141.59 / $188.79	Facility		$117.69	$141.59	$188.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $152.87 / $272.01	Professional		$105.03	$152.87	$272.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $192.32 / $255.39	Professional		$157.44	$192.32	$255.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $160.66 / $774.60	Facility		$160.66	$160.66	$774.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $127.28 / $156.33	Professional		$107.81	$127.28	$156.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $178.68 / $178.68	Facility		$97.00	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $187.25 / $359.91	Professional		$130.08	$187.25	$359.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $163.52 / $300.37	Facility		$126.35	$163.52	$300.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $216.20 / $1,111.43	Professional		$160.44	$216.20	$1,111.43
United Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $187.20 / $346.13	Professional		$154.80	$187.20	$346.13