Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $331.11 / $1,218.64	Facility		$105.60	$331.11	$1,218.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $133.96 / $745.60	Professional		$103.76	$133.96	$745.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $121.70 / $260.00	Professional		$109.53	$121.70	$260.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $224.54 / $369.57	Facility		$61.43	$224.54	$369.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $108.63 / $216.59	Professional		$81.47	$108.63	$216.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $148.38 / $638.99	Facility		$103.76	$148.38	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $739.96	Professional		$450.58	$450.58	$739.96
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $450.58	Professional		$450.58	$450.58	$450.58