Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $174.96 / $207.13	Facility		$104.50	$174.96	$207.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $126.30 / $192.77	Professional		$67.31	$126.30	$192.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $291.00 / $291.00	Professional		$291.00	$291.00	$291.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $189.90 / $189.90	Professional		$189.90	$189.90	$189.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $338.91	Professional		$95.33	$130.59	$338.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $187.63 / $1,089.41	Facility		$67.31	$187.63	$1,089.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $116.14 / $222.92	Professional		$69.51	$116.14	$222.92
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $112.27 / $155.56	Professional		$69.51	$112.27	$155.56