Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $645.65	Facility		$104.71	$112.20	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
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 $114.82 / $181.97 / $295.12	Facility		$114.82	$181.97	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Facility		$97.72	$97.72	$104.71
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 / $128.82 / $354.81	Facility		$109.65	$128.82	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $389.05	Professional		$109.65	$114.82	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Facility		$104.71	$104.71	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $158.49	Professional		$104.71	$109.65	$158.49