Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $129.72	Facility		$129.72	$129.72	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $84.99 / $129.72	Professional		$45.29	$84.99	$129.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $186.99 / $198.90	Facility		$179.42	$186.99	$198.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Professional		$177.64	$177.64	$177.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $228.28	Professional		$64.86	$88.85	$228.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $126.26 / $734.34	Facility		$45.29	$126.26	$734.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $78.15 / $200.16	Professional		$46.77	$78.15	$200.16
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.55 / $104.68	Professional		$46.77	$75.55	$104.68