Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $109.51 / $160.66	Facility		$27.86	$109.51	$160.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.90 / $160.66	Professional		$77.62	$112.90	$160.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $145.52 / $145.52	Professional		$145.52	$145.52	$145.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $159.74 / $169.92	Facility		$151.75	$159.74	$169.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $167.73 / $167.73	Professional		$167.73	$167.73	$167.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $127.07 / $127.07	Facility		$127.07	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $292.97	Professional		$92.76	$92.76	$292.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.26 / $151.87 / $939.42	Facility		$105.26	$151.87	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $96.80 / $258.18	Professional		$59.97	$96.80	$258.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $96.80 / $142.66	Professional		$63.50	$96.80	$142.66