Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $144.54	Professional		$75.86	$104.71	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $151.36	Professional		$85.11	$100.00	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $190.55	Facility		$39.81	$52.48	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $165.96	Professional		$79.43	$112.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $204.17	Facility		$89.13	$109.65	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $691.83	Professional		$97.72	$134.90	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $120.23	Facility		$74.13	$85.11	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $208.93	Professional		$95.50	$120.23	$208.93