Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $19,498.45	Facility		$128.82	$194.98	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $131.83	Professional		$79.43	$81.28	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $165.96 / $323.59	Facility		$67.61	$165.96	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $141.25	Professional		$67.61	$89.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $85.11	Facility		$79.43	$79.43	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $134.90	Facility		$63.10	$87.10	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $933.25	Professional		$77.62	$77.62	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Facility		$77.62	$77.62	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $89.13	Professional		$77.62	$79.43	$89.13