Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $199.53	Facility		$102.33	$147.91	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $269.15	Professional		$83.18	$128.82	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $190.55	Professional		$107.15	$131.83	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $194.98	Professional		$134.90	$147.91	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $223.87	Professional		$95.50	$138.04	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $190.55	Facility		$83.18	$123.03	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $851.14	Professional		$125.89	$173.78	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $181.97	Professional		$97.72	$131.83	$181.97