Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.78 / $148.78 / $157.43	Facility		$148.78	$148.78	$157.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $114.00 / $157.43	Professional		$74.56	$114.00	$157.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $142.58 / $213.00	Professional		$142.58	$142.58	$213.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $164.31 / $164.31	Professional		$164.31	$164.31	$164.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $120.81	Facility		$120.81	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $277.02	Professional		$88.19	$120.81	$277.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $148.79 / $889.53	Facility		$103.14	$148.79	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $94.84 / $252.94	Professional		$56.76	$94.84	$252.94
United Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $94.84 / $141.88	Professional		$60.11	$94.84	$141.88