Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.29 / $203.29 / $203.29	Facility		$203.29	$203.29	$203.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $123.06 / $203.29	Professional		$103.81	$123.06	$203.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $176.38 / $254.00	Professional		$176.38	$176.38	$254.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $331.66 / $331.66	Professional		$331.66	$331.66	$331.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $166.32	Facility		$126.72	$126.72	$166.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $259.69	Professional		$126.72	$126.72	$259.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $203.29 / $908.34	Facility		$119.48	$203.29	$908.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $139.81 / $278.77	Professional		$74.12	$139.81	$278.77
United Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $125.32 / $270.92	Professional		$74.12	$125.32	$270.92