Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $154.88	Facility		$77.62	$109.65	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $199.53	Professional		$61.66	$97.72	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $138.04	Professional		$81.28	$104.71	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $151.36	Professional		$102.33	$109.65	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $165.96	Professional		$70.79	$104.71	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $147.91	Facility		$63.10	$95.50	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $660.69	Professional		$97.72	$131.83	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $141.25	Professional		$70.79	$97.72	$141.25