Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $79.43 / $181.97	Facility		$30.20	$79.43	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $66.07 / $316.23	Professional		$19.05	$66.07	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $17.78	Professional		$15.14	$17.78	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $41.69 / $69.18	Facility		$14.13	$41.69	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $42.66	Professional		$19.95	$21.38	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $83.18	Facility		$17.78	$24.55	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $38.90	Professional		$16.98	$30.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.91 / $141.25	Facility		$20.42	$22.91	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $22.91	Professional		$10.72	$14.79	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $30.20	Facility		$15.14	$25.70	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $20.89	Professional		$10.72	$14.79	$20.89