Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $90.81 / $489.18	Facility		$90.81	$90.81	$489.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $90.81 / $155.10	Professional		$72.00	$90.81	$155.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $192.04 / $192.04	Professional		$144.03	$192.04	$192.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $118.47 / $120.81	Professional		$88.19	$118.47	$120.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $124.98 / $889.53	Facility		$91.81	$124.98	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $91.81 / $189.95	Professional		$56.76	$91.81	$189.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $86.82 / $133.57	Professional		$56.76	$86.82	$133.57