Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $128.82	Professional		$53.70	$85.11	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $120.23	Professional		$87.10	$117.49	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $194.98	Professional		$77.62	$91.20	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $645.65	Facility		$56.23	$95.50	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $138.04	Professional		$45.71	$81.28	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $61.66 / $120.23	Facility		$8.13	$61.66	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $134.90	Professional		$47.86	$87.10	$134.90