Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $99.75	Facility		$99.75	$99.75	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $65.36 / $99.75	Professional		$34.83	$65.36	$99.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $90.35 / $90.35	Professional		$90.35	$90.35	$90.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $107.33 / $113.84	Facility		$98.37	$107.33	$113.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $106.53 / $106.53	Professional		$106.53	$106.53	$106.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.30 / $175.31	Professional		$59.35	$81.30	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $97.08 / $563.71	Facility		$34.83	$97.08	$563.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $60.10 / $153.90	Professional		$35.97	$60.10	$153.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $57.41 / $80.48	Professional		$35.97	$57.41	$80.48