Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $95.50 / $162.18	Facility		$30.90	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $213.80	Professional		$19.95	$28.18	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $74.13 / $109.65	Facility		$22.91	$74.13	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $69.18	Professional		$23.99	$34.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $112.20	Facility		$22.91	$33.11	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $52.48	Professional		$20.89	$41.69	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.84 / $162.18	Facility		$25.70	$28.84	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $28.18	Professional		$14.45	$18.62	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $40.74	Facility		$23.44	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $28.18	Professional		$14.45	$18.62	$28.18