Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $196.98 / $196.98	Facility		$196.98	$196.98	$196.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $129.05 / $196.98	Professional		$68.78	$129.05	$196.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $178.41 / $178.41	Professional		$178.41	$178.41	$178.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $184.21 / $195.96	Facility		$175.00	$184.21	$195.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $232.30 / $232.30	Professional		$232.30	$232.30	$232.30
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 / $152.55 / $346.41	Professional		$111.36	$152.55	$346.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $191.71 / $1,113.14	Facility		$68.78	$191.71	$1,113.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $118.67 / $303.91	Professional		$71.02	$118.67	$303.91
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $118.27 / $158.94	Professional		$71.02	$118.27	$158.94