Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Facility		$120.23	$120.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $354.81	Professional		$95.50	$123.03	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $131.83	Professional		$93.33	$109.65	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Professional		$181.97	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $257.04	Professional		$112.20	$158.49	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $229.09	Facility		$102.33	$131.83	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $1,071.52	Professional		$114.82	$151.36	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $194.98	Professional		$109.65	$144.54	$194.98