Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $78.78 / $169.00	Facility		$42.13	$78.78	$169.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $42.13 / $84.26	Professional		$21.91	$42.13	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.33 / $26.33	Professional		$25.28	$26.33	$26.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $15.13 / $22.63	Facility		$13.13	$15.13	$22.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $43.39 / $43.39	Professional		$42.13	$43.39	$43.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.22 / $79.29	Facility		$28.65	$29.22	$79.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $60.50 / $61.47	Professional		$21.94	$60.50	$61.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $200.12	Facility		$42.13	$42.13	$200.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $71.62	Professional		$17.69	$25.28	$71.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $67.41	Professional		$17.69	$25.28	$67.41