Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.59 / $122.60 / $124.07	Facility		$97.59	$122.60	$124.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $124.07 / $192.13	Professional		$94.07	$124.07	$192.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $137.24 / $178.41	Professional		$120.14	$137.24	$178.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $147.13 / $198.97	Professional		$114.45	$147.13	$198.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $155.51 / $220.36	Professional		$108.16	$155.51	$220.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $140.52 / $228.40	Facility		$97.60	$140.52	$228.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $169.63 / $944.96	Professional		$127.20	$169.63	$944.96
United Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $156.63 / $208.45	Professional		$122.90	$156.63	$208.45