Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $123.03 / $204.17	Facility		$33.88	$123.03	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $151.36	Professional		$26.92	$35.48	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $67.61 / $109.65	Facility		$22.91	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $69.18	Professional		$31.62	$34.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $131.83	Facility		$28.18	$39.81	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $61.66	Professional		$27.54	$50.12	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $194.98	Facility		$30.90	$35.48	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $37.15	Professional		$16.98	$23.99	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $48.98	Facility		$30.20	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $37.15	Professional		$16.98	$23.99	$37.15