Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $153.07 / $194.80	Facility		$108.68	$153.07	$194.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $78.47 / $119.77	Professional		$46.07	$78.47	$119.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $108.48 / $108.48	Professional		$108.48	$108.48	$108.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $116.39 / $116.39	Professional		$116.39	$116.39	$116.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $115.38	Facility		$115.38	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $247.50	Professional		$84.23	$115.38	$247.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $116.56 / $749.92	Facility		$46.07	$116.56	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $72.16 / $184.77	Professional		$47.57	$72.16	$184.77
United Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $72.16 / $104.46	Professional		$48.10	$72.16	$104.46