Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $155.94 / $183.52	Facility		$119.23	$155.94	$183.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $143.76 / $192.09	Professional		$106.44	$143.76	$192.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $148.72 / $148.72	Professional		$73.75	$148.72	$148.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $191.05 / $245.93	Professional		$162.38	$191.05	$245.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $190.74 / $288.87	Professional		$126.74	$190.74	$288.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $156.19 / $227.60	Facility		$109.60	$156.19	$227.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $210.06 / $1,021.95	Professional		$163.89	$210.06	$1,021.95
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $178.60 / $262.55	Professional		$157.61	$178.60	$262.55