Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $113.63 / $151.87	Facility		$89.47	$113.63	$151.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $136.93 / $282.31	Professional		$98.34	$136.93	$282.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $152.93 / $197.23	Professional		$116.48	$152.93	$197.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $118.36 / $148.49	Professional		$101.82	$118.36	$148.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $156.13 / $311.52	Professional		$104.31	$156.13	$311.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.42 / $147.50 / $265.56	Facility		$98.42	$147.50	$265.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $184.08 / $1,021.95	Professional		$132.72	$184.08	$1,021.95
United Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $161.16 / $306.44	Professional		$128.52	$161.16	$306.44