Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $616.60	Facility		$102.33	$302.00	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $204.17	Professional		$81.28	$85.11	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $223.87	Professional		$61.66	$83.18	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $223.87	Facility		$154.88	$204.17	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $131.83	Facility		$81.28	$102.33	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $724.44	Professional		$85.11	$85.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Facility		$112.20	$112.20	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33