Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $2,570.40	Facility		$151.36	$331.13	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $436.52	Professional		$93.33	$104.71	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $95.50	Professional		$87.10	$93.33	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $380.19	Facility		$75.86	$245.47	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $436.52	Professional		$89.13	$177.83	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $123.03 / $218.78	Facility		$42.66	$123.03	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $151.36	Facility		$91.20	$93.33	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33