Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $76.64 / $112.96	Facility		$76.64	$76.64	$112.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $76.64 / $103.00	Professional		$73.80	$76.64	$103.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $210.72	Professional		$115.00	$115.00	$210.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $141.93 / $141.93	Professional		$141.93	$141.93	$141.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $198.38	Professional		$70.61	$96.73	$198.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $100.49 / $766.63	Facility		$47.05	$100.49	$766.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $77.26 / $160.31	Professional		$48.58	$77.26	$160.31
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $72.88 / $104.55	Professional		$48.58	$72.88	$104.55