Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $121.60 / $121.60	Facility		$121.60	$121.60	$121.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $79.67 / $121.60	Professional		$75.00	$79.67	$121.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $110.13 / $110.13	Professional		$110.13	$110.13	$110.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $151.21 / $160.38	Facility		$138.59	$151.21	$160.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $150.09 / $150.09	Professional		$150.09	$150.09	$150.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.71 / $213.75	Professional		$61.11	$83.71	$213.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $114.61 / $688.05	Facility		$75.00	$114.61	$688.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $73.26 / $195.40	Professional		$43.95	$73.26	$195.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $72.39 / $117.47	Facility		$0.11	$72.39	$117.47
United Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $73.19 / $109.87	Professional		$46.54	$73.19	$109.87