Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $251.19	Facility		$54.95	$165.96	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $100.00	Professional		$34.67	$43.65	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $35.48	Professional		$21.88	$25.70	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $93.33 / $138.04	Facility		$28.84	$93.33	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $87.10	Professional		$39.81	$43.65	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $165.96	Facility		$35.48	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $77.62	Professional		$33.88	$61.66	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $245.47	Facility		$38.90	$39.81	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $43.65	Professional		$21.38	$30.20	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $61.66	Facility		$30.90	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $43.65	Professional		$21.38	$30.20	$43.65