Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $95.39 / $197.60	Facility		$50.27	$95.39	$197.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $37.27 / $51.18	Professional		$27.95	$37.27	$51.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Professional		$18.64	$18.64	$18.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $49.71 / $75.14	Facility		$42.68	$49.71	$75.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.50	Professional		$47.00	$47.00	$47.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $61.52 / $195.51	Facility		$32.95	$61.52	$195.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $57.59 / $75.12	Professional		$21.60	$57.59	$75.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $45.06 / $75.15	Facility		$29.89	$45.06	$75.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $24.18 / $194.24	Professional		$15.65	$24.18	$194.24
United Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $102.49 / $102.49	Facility		$102.49	$102.49	$102.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $55.91	Professional		$15.65	$22.36	$55.91