Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $126.54 / $126.54	Facility		$123.00	$126.54	$126.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $93.03 / $194.56	Professional		$90.78	$93.03	$194.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $106.48 / $211.89	Professional		$97.96	$106.48	$211.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $182.94 / $289.81	Facility		$48.17	$182.94	$289.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $85.18 / $412.61	Professional		$63.89	$85.18	$412.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $117.13 / $420.30	Facility		$91.91	$117.13	$420.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $217.00	Professional		$100.00	$100.00	$217.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00