Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $104.71 / $194.98	Facility		$39.81	$104.71	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $95.50	Professional		$25.70	$41.69	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $17.38 / $35.48	Professional		$7.08	$17.38	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $70.79 / $75.86	Facility		$47.86	$70.79	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $61.66 / $79.43	Facility		$28.84	$61.66	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $39.81 / $85.11	Professional		$21.38	$39.81	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $91.20	Facility		$28.84	$46.77	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $316.23	Professional		$14.79	$23.44	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $41.69	Facility		$20.89	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98