Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $125.70 / $125.70	Facility		$125.70	$125.70	$125.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $82.35 / $125.70	Professional		$40.78	$82.35	$125.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $101.71 / $113.85	Professional		$101.71	$101.71	$113.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $162.00 / $171.84	Facility		$148.47	$162.00	$171.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $160.80 / $160.80	Professional		$160.80	$160.80	$160.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $213.28	Professional		$67.88	$67.88	$213.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $122.34 / $659.83	Facility		$40.78	$122.34	$659.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $75.14 / $193.92	Professional		$42.11	$75.14	$193.92
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $72.34 / $101.42	Professional		$42.11	$72.34	$101.42