Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $20.73 / $31.13	Facility		$20.73	$20.73	$31.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $31.12 / $47.85	Professional		$20.73	$31.12	$47.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $41.53 / $41.53	Professional		$41.53	$41.53	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.55 / $821.84 / $1,298.77	Facility		$514.55	$821.84	$1,298.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $28.70 / $39.40	Professional		$18.89	$28.70	$39.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $39.26 / $72.05	Professional		$20.36	$39.26	$72.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $40.69 / $940.92	Facility		$21.77	$40.69	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $47.12 / $315.83	Professional		$26.38	$47.12	$315.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $34.14 / $59.52	Professional		$24.83	$34.14	$59.52