Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $153.07 / $194.80	Facility		$60.90	$153.07	$194.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $75.08 / $85.90	Professional		$72.30	$75.08	$85.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $127.02 / $127.02	Professional		$127.02	$127.02	$127.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $139.03 / $139.03	Professional		$139.03	$139.03	$139.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $141.93	Professional		$84.23	$115.38	$141.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $98.43 / $749.92	Facility		$46.07	$98.43	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $75.91 / $157.04	Professional		$47.57	$75.91	$157.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $71.36 / $102.37	Professional		$47.57	$71.36	$102.37