Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $89.13 / $251.19	Facility		$30.90	$89.13	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $54.95	Professional		$23.99	$31.62	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $22.91	Professional		$18.62	$22.39	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $31.62 / $40.74	Facility		$20.42	$31.62	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $57.54	Facility		$23.99	$31.62	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $66.07	Professional		$20.89	$25.12	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $72.44	Facility		$29.51	$52.48	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $56.23	Professional		$15.49	$20.89	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $37.15 / $44.67	Facility		$15.49	$37.15	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $30.20	Professional		$15.49	$19.05	$30.20