Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $123.03	Professional		$75.86	$89.13	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $213.80	Professional		$75.86	$87.10	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,318.26	Facility		$524.81	$812.83	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $147.91	Professional		$107.15	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $190.55	Professional		$79.43	$123.03	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $223.87	Facility		$83.18	$117.49	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $676.08	Professional		$93.33	$123.03	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $158.49	Professional		$91.20	$114.82	$158.49