Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $87.10 / $117.49	Facility		$27.54	$87.10	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $64.57	Professional		$22.91	$26.92	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $57.54	Professional		$14.79	$17.38	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $131.83	Facility		$66.07	$97.72	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $29.51 / $57.54	Facility		$22.91	$29.51	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $66.07	Professional		$25.12	$40.74	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $51.29 / $72.44	Facility		$27.54	$51.29	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $288.40	Professional		$20.89	$29.51	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $35.48 / $41.69	Facility		$14.79	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $48.98	Professional		$20.89	$23.99	$48.98