Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $111.97 / $111.97	Facility		$111.97	$111.97	$111.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $117.56 / $127.97	Professional		$111.97	$117.56	$127.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $221.84 / $221.84	Professional		$221.84	$221.84	$221.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $228.52 / $228.52	Professional		$228.52	$228.52	$228.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $122.31	Professional		$89.29	$122.31	$122.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $156.75 / $1,037.98	Facility		$63.04	$156.75	$1,037.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $129.04 / $254.86	Professional		$65.09	$129.04	$254.86
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $121.34 / $147.13	Professional		$65.09	$121.34	$147.13