Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $140.37 / $140.37	Facility		$120.47	$140.37	$140.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $110.52 / $182.18	Professional		$99.94	$110.52	$182.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $110.04 / $143.05	Professional		$110.04	$110.04	$143.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $217.12 / $741.26	Professional		$184.55	$217.12	$741.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $168.00 / $245.54	Professional		$118.00	$168.00	$245.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $130.97 / $272.75	Facility		$102.41	$130.97	$272.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $159.59 / $1,082.00	Professional		$113.09	$159.59	$1,082.00
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $145.72 / $204.88	Professional		$109.32	$145.72	$204.88