Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $105.24 / $202.93	Facility		$46.98	$105.24	$202.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $42.28 / $50.27	Professional		$24.89	$42.28	$50.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $32.63	Professional		$28.19	$28.19	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.13 / $91.65 / $135.77	Facility		$77.13	$91.65	$135.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $70.23 / $70.23	Professional		$22.64	$70.23	$70.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $60.39 / $262.64	Facility		$30.88	$60.39	$262.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $67.63 / $144.00	Professional		$28.90	$67.63	$144.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $101.76	Facility		$42.61	$42.61	$101.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.19 / $95.84	Professional		$19.73	$28.19	$95.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.19 / $97.76	Professional		$19.73	$28.19	$97.76