Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Facility		$141.25	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $562.34	Professional		$112.20	$154.88	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $181.97	Professional		$109.65	$147.91	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $223.87	Professional		$190.55	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $302.00	Professional		$131.83	$186.21	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $275.42	Facility		$120.23	$151.36	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $1,348.96	Professional		$134.90	$177.83	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $229.09	Professional		$128.82	$169.82	$229.09