Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $61.96 / $123.61	Facility		$28.23	$61.96	$123.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $26.81 / $199.20	Professional		$20.76	$26.81	$199.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $68.06 / $113.42	Facility		$17.34	$68.06	$113.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $26.10 / $37.20	Professional		$17.95	$26.10	$37.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $50.35 / $90.63	Facility		$21.67	$50.35	$90.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $37.58 / $46.98	Professional		$20.80	$37.58	$46.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $27.01 / $217.00	Facility		$23.24	$27.01	$217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.18 / $28.53	Professional		$13.01	$18.18	$28.53
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.18 / $28.53	Professional		$13.01	$18.18	$28.53