Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $364.08 / $865.54	Facility		$128.09	$364.08	$865.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $103.76 / $326.67	Professional		$102.48	$103.76	$326.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $87.92 / $152.38	Professional		$87.92	$87.92	$152.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $204.37 / $393.98	Facility		$154.00	$204.37	$393.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $157.90 / $157.90	Professional		$157.90	$157.90	$157.90
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 $102.48 / $125.22 / $163.97	Facility		$102.48	$125.22	$163.97
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 / $507.22	Professional		$450.58	$450.58	$507.22