Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $199.53	Facility		$102.33	$147.91	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $257.04	Professional		$81.28	$123.03	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $186.21	Professional		$97.72	$125.89	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $194.98	Professional		$131.83	$147.91	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $218.78	Professional		$91.20	$134.90	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $190.55	Facility		$83.18	$123.03	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $851.14	Professional		$123.03	$165.96	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $181.97	Professional		$91.20	$128.82	$181.97