Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $181.97 / $263.03	Facility		$33.11	$181.97	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $234.42	Professional		$102.33	$154.88	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $257.04	Professional		$70.79	$123.03	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $28.84	Facility		$19.95	$25.12	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $151.36 / $338.84	Facility		$123.03	$151.36	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $281.84	Professional		$112.20	$173.78	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $338.84	Facility		$144.54	$177.83	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $1,023.29	Professional		$141.25	$190.55	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $123.03 / $218.78	Facility		$39.81	$123.03	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $275.42	Professional		$141.25	$169.82	$275.42