Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $147.50 / $147.50	Facility		$94.50	$147.50	$147.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.04 / $147.50 / $195.32	Professional		$142.04	$147.50	$195.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $233.96 / $389.93	Professional		$175.47	$233.96	$389.93
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 $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $291.73	Professional		$156.34	$214.16	$291.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $171.40 / $1,620.96	Facility		$142.04	$171.40	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $170.91 / $308.52	Professional		$103.75	$170.91	$308.52
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $155.62 / $195.32	Facility		$122.08	$155.62	$195.32
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $244.15	Professional		$103.75	$155.62	$244.15