Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $95.42 / $114.01	Facility		$78.23	$95.42	$114.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $98.09 / $138.75	Professional		$70.19	$98.09	$138.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $104.21 / $152.00	Professional		$57.60	$104.21	$152.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $124.97 / $166.32	Professional		$106.22	$124.97	$166.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $129.88 / $202.35	Professional		$84.62	$129.88	$202.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $104.93 / $159.72	Facility		$74.29	$104.93	$159.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $146.49 / $717.08	Professional		$109.35	$146.49	$717.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $124.29 / $175.26	Professional		$98.20	$124.29	$175.26