Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $144.93 / $164.51	Facility		$144.93	$144.93	$164.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $128.25 / $415.34	Professional		$93.32	$128.25	$415.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $174.98 / $209.97	Professional		$174.98	$174.98	$209.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $221.26 / $400.03	Facility		$61.25	$221.26	$400.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $191.41 / $255.21	Professional		$165.89	$191.41	$255.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $152.55	Facility		$152.55	$152.55	$152.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $162.61 / $1,113.14	Facility		$68.78	$162.61	$1,113.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $106.53 / $173.32	Professional		$96.29	$106.53	$173.32
United Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $106.53 / $152.84	Professional		$96.29	$106.53	$152.84