Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $363.08	Professional		$75.86	$104.71	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $125.89 / $263.03	Facility		$54.95	$125.89	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $398.11	Professional		$162.18	$213.80	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $141.25 / $912.01	Facility		$56.23	$141.25	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $1,096.48	Professional		$79.43	$87.10	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $169.82	Facility		$75.86	$134.90	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $131.83	Professional		$79.43	$87.10	$131.83