Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $296.45 / $790.02	Facility		$183.26	$296.45	$790.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $121.84 / $744.00	Professional		$84.93	$121.84	$744.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $227.50	Professional		$97.21	$97.21	$227.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $167.83 / $264.58	Facility		$43.98	$167.83	$264.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $77.77 / $155.05	Professional		$75.81	$77.77	$155.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $116.65 / $717.30	Facility		$82.89	$116.65	$717.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $211.97	Professional		$85.27	$85.27	$211.97
United Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $136.09	Facility		$97.21	$97.21	$136.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $85.27	Professional		$85.27	$85.27	$85.27