Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.76 / $87.76 / $87.76	Facility		$87.76	$87.76	$87.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $88.41 / $111.83	Professional		$85.69	$88.41	$111.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $107.89 / $107.89	Professional		$107.89	$107.89	$107.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $869.13 / $1,382.90	Facility		$550.95	$869.13	$1,382.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $115.78 / $146.58	Professional		$106.75	$115.78	$146.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $122.20 / $187.00	Professional		$78.66	$122.20	$187.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $120.34 / $206.75	Facility		$82.99	$120.34	$206.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $119.36 / $679.98	Professional		$94.35	$119.36	$679.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $114.47 / $152.72	Professional		$90.94	$114.47	$152.72