Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $81.28 / $173.78	Facility		$43.65	$81.28	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $61.66	Professional		$33.11	$39.81	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $72.44	Professional		$29.51	$66.07	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $93.33	Professional		$33.88	$52.48	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $46.77 / $107.15	Facility		$38.02	$46.77	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $257.04	Professional		$31.62	$50.12	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $79.43	Facility		$30.90	$41.69	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $70.79	Professional		$30.90	$43.65	$70.79