Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $130.31 / $249.31	Professional		$80.15	$130.31	$249.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $200.37 / $200.37	Professional		$200.37	$200.37	$200.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $190.02 / $343.54	Facility		$52.60	$190.02	$343.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $175.34 / $238.91	Professional		$131.51	$175.34	$238.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $256.13	Professional		$156.91	$156.91	$256.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $200.37 / $1,096.95	Facility		$104.44	$200.37	$1,096.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $161.78 / $243.70	Professional		$137.12	$161.78	$243.70
United Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $161.78 / $243.70	Professional		$146.22	$161.78	$243.70