Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $159.94 / $424.67	Facility		$43.40	$159.94	$424.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.06 / $65.41	Professional		$35.72	$39.06	$65.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $33.08 / $35.56	Professional		$33.08	$33.08	$35.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $95.03 / $174.04	Facility		$26.65	$95.03	$174.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $40.13 / $57.18	Professional		$27.59	$40.13	$57.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $77.40 / $139.32	Facility		$32.68	$77.40	$139.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $58.23 / $72.79	Professional		$32.78	$58.23	$72.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $38.10 / $260.00	Facility		$37.18	$38.10	$260.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.95 / $41.87	Professional		$20.00	$27.95	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.95 / $38.10	Professional		$20.00	$27.95	$38.10