Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $213.53 / $225.90	Facility		$76.91	$213.53	$225.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $153.37 / $225.90	Professional		$105.44	$153.37	$225.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $204.59 / $204.59	Professional		$170.46	$204.59	$204.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $234.48 / $234.48	Professional		$234.48	$234.48	$234.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $142.00	Facility		$142.00	$142.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $397.50	Professional		$103.66	$142.00	$397.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $213.53 / $1,281.52	Facility		$148.00	$213.53	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $136.10 / $275.66	Professional		$81.45	$136.10	$275.66
United Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $136.10 / $213.53	Professional		$90.73	$136.10	$213.53