Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $154.88	Professional		$81.28	$112.20	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $245.47	Professional		$102.33	$120.23	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $812.83	Facility		$77.62	$123.03	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $177.83	Professional		$56.23	$102.33	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $77.62 / $141.25	Facility		$9.55	$77.62	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $177.83	Professional		$58.88	$95.50	$177.83