Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $129.87 / $151.13	Facility		$99.14	$129.87	$151.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $118.23 / $162.62	Professional		$87.28	$118.23	$162.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $122.64 / $158.00	Professional		$59.00	$122.64	$158.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $151.04 / $199.00	Professional		$128.38	$151.04	$199.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.63 / $160.63 / $160.63	Facility		$160.63	$160.63	$160.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $153.74 / $237.15	Professional		$102.85	$153.74	$237.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $125.87 / $189.38	Facility		$87.28	$125.87	$189.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $172.45 / $845.09	Professional		$133.85	$172.45	$845.09
United Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $146.36 / $215.92	Professional		$124.42	$146.36	$215.92