Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $92.83 / $92.83	Facility		$92.83	$92.83	$92.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $108.01 / $123.75	Professional		$92.83	$108.01	$123.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $107.58 / $107.58	Professional		$107.58	$107.58	$107.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $163.22 / $163.22	Professional		$138.75	$163.22	$163.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $120.10 / $169.89	Facility		$95.75	$120.10	$169.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $152.47 / $698.47	Professional		$120.07	$152.47	$698.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $145.29 / $220.96	Professional		$114.40	$145.29	$220.96