Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $92.62 / $184.78	Facility		$42.20	$92.62	$184.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $33.47 / $297.77	Professional		$28.86	$33.47	$297.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $28.94 / $28.94	Professional		$28.94	$28.94	$28.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $101.71 / $169.48	Facility		$25.90	$101.71	$169.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $39.02 / $55.60	Professional		$26.82	$39.02	$55.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $75.25 / $135.44	Facility		$28.62	$75.25	$135.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $56.58 / $70.73	Professional		$22.79	$56.58	$70.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $219.97	Facility		$34.26	$34.26	$219.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $19.92 / $27.79	Professional		$19.42	$19.92	$27.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.92 / $31.26	Professional		$19.45	$19.92	$31.26