Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $159.60 / $186.20	Facility		$15.76	$159.60	$186.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $28.21 / $51.12	Professional		$17.09	$28.21	$51.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $226.50	Professional	50	$48.35	$67.31	$226.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $26.80 / $67.19	Professional		$25.76	$26.80	$67.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.40 / $32.40 / $32.40	Professional	50	$32.40	$32.40	$32.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $229.25 / $374.96	Facility		$60.89	$229.25	$374.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.17 / $7.94	Professional		$5.40	$6.17	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.71 / $62.25	Professional		$16.80	$34.71	$62.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $32.54 / $1,053.00	Facility		$17.35	$32.54	$1,053.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $40.65 / $210.88	Professional		$25.92	$40.65	$210.88
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $10.48 / $10.48 / $10.48	Professional	50	$10.48	$10.48	$10.48
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $35.35 / $60.99	Professional		$25.11	$35.35	$60.99