Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $131.83	Professional		$74.13	$95.50	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $194.98	Professional		$81.28	$95.50	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $645.65	Facility		$74.13	$109.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $194.98	Professional		$47.86	$100.00	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $72.44 / $112.20	Facility		$9.12	$72.44	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $194.98	Professional		$52.48	$97.72	$194.98