Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $158.49	Professional		$75.86	$109.65	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $257.04	Facility		$234.42	$245.47	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 / $269.15	Professional		$83.18	$83.18	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $436.52	Facility		$56.23	$131.83	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $1,096.48	Professional		$58.88	$91.20	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $144.54	Facility		$114.82	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $134.90	Professional		$60.26	$91.20	$134.90