Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $102.33	Facility		$21.38	$53.70	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $28.18	Professional		$21.88	$26.30	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $20.42	Professional		$18.20	$18.20	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $100.00	Facility		$63.10	$95.50	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $67.61	Facility		$19.50	$47.86	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.88 / $70.79	Professional		$15.49	$33.88	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $63.10	Facility		$25.70	$26.92	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $46.77	Professional		$12.30	$20.42	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $35.48	Facility		$17.38	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $41.69	Professional		$12.30	$23.99	$41.69