Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $72.44 / $338.84	Facility		$23.99	$72.44	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $218.78	Professional		$60.26	$131.83	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $162.18	Professional		$53.70	$93.33	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.14 / $17.38	Facility		$11.75	$15.14	$17.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $269.15	Facility		$95.50	$117.49	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $251.19	Professional		$104.71	$177.83	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $331.13	Facility		$117.49	$173.78	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $812.83	Professional		$131.83	$194.98	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $177.83	Facility		$50.12	$120.23	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $234.42	Professional		$131.83	$177.83	$234.42