Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $177.83	Facility		$26.30	$67.61	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $33.11	Professional		$10.00	$21.88	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $85.11 / $128.82	Facility		$26.30	$85.11	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $69.18	Professional		$31.62	$34.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $112.20	Facility		$21.88	$33.11	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $52.48	Professional		$17.78	$41.69	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $162.18	Facility		$12.59	$28.84	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $28.18	Professional		$14.45	$14.79	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.88 / $40.74	Facility		$20.89	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $27.54	Professional		$14.45	$14.79	$27.54