Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $113.63 / $167.47	Facility		$113.63	$113.63	$167.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $113.63 / $415.34	Professional		$109.42	$113.63	$415.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $180.23 / $204.26	Professional		$180.23	$180.23	$204.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $210.42 / $210.42	Professional		$210.42	$210.42	$210.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $134.37 / $153.72	Professional		$111.36	$134.37	$153.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $144.33 / $1,113.14	Facility		$68.78	$144.33	$1,113.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $114.88 / $234.68	Professional		$71.02	$114.88	$234.68
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $106.53 / $152.84	Professional		$71.02	$106.53	$152.84