Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $103.88 / $158.56	Professional		$55.36	$103.88	$158.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $143.61 / $143.61	Professional		$143.61	$143.61	$143.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.27 / $213.05 / $225.99	Facility		$195.27	$213.05	$225.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $211.47 / $211.47	Professional		$211.47	$211.47	$211.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Facility		$107.42	$107.42	$107.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $278.91	Professional		$78.42	$107.42	$278.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $154.30 / $899.40	Facility		$55.36	$154.30	$899.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $95.52 / $244.60	Professional		$57.18	$95.52	$244.60
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $90.43 / $153.18	Facility		$0.14	$90.43	$153.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $95.21 / $127.93	Professional		$57.18	$95.21	$127.93