Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $616.60	Facility		$165.96	$190.55	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $588.84	Professional		$104.71	$104.71	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $616.60	Facility		$100.00	$281.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Facility		$104.71	$104.71	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $575.44	Facility		$109.65	$131.83	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,698.24	Professional		$109.65	$109.65	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $245.47	Facility		$109.65	$120.23	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Professional		$104.71	$104.71	$151.36