Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.12 / $36.38	Facility		$19.05	$29.12	$36.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.43 / $32.07	Professional		$19.05	$24.43	$32.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $30.96	Professional		$25.80	$25.80	$30.96
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $25.80 / $25.80 / $25.80	Professional	CQ	$25.80	$25.80	$25.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.11 / $821.84 / $1,282.14	Facility		$524.11	$821.84	$1,282.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $26.60 / $36.53	Professional		$17.50	$26.60	$36.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $22.42	Facility		$22.42	$22.42	$22.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $42.38 / $90.08	Professional		$20.93	$42.38	$90.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $36.32 / $940.92	Facility		$20.01	$36.32	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $39.60 / $210.88	Professional		$24.85	$39.60	$210.88
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $31.68 / $48.51	Professional		$23.38	$31.68	$48.51