Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $252.47 / $897.39	Facility		$4.30	$252.47	$897.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $85.14 / $208.80	Professional		$13.44	$85.14	$208.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $27.85 / $40.33	Facility		$20.74	$27.85	$40.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $4.96 / $5.33	Professional		$4.96	$4.96	$5.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.65 / $8.52	Facility		$3.39	$3.65	$8.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $5.30 / $7.23	Professional		$2.31	$5.30	$7.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $134.53	Facility		$4.55	$4.55	$134.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.01 / $6.53	Professional		$2.19	$3.01	$6.53
United Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $32.25	Facility		$22.55	$22.55	$32.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.61 / $3.39	Professional		$2.19	$2.61	$3.39