Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Facility		$91.20	$91.20	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $407.38	Professional		$87.10	$165.96	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $169.82	Professional		$107.15	$128.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $181.97	Professional		$81.28	$120.23	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $251.19	Professional		$87.10	$128.82	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $208.93	Facility		$79.43	$117.49	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $851.14	Professional		$112.20	$186.21	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $104.71	Facility		$69.18	$81.28	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $213.80	Professional		$87.10	$123.03	$213.80