Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $54.60 / $364.28	Facility		$27.25	$54.60	$364.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.04 / $147.50 / $187.34	Professional		$142.04	$147.50	$187.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $249.55 / $405.52	Professional		$249.55	$249.55	$405.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Professional		$273.14	$273.14	$273.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $184.69 / $194.92	Professional		$142.29	$184.69	$194.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $193.38 / $1,620.96	Facility		$100.47	$193.38	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $308.52	Professional		$103.75	$155.62	$308.52
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $152.37 / $223.26	Professional		$103.75	$152.37	$223.26