Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $141.25 / $478.63	Professional		$64.57	$141.25	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $112.20	Professional		$56.23	$56.23	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Professional		$60.26	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $123.03	Professional		$40.74	$81.28	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $154.88	Facility		$61.66	$93.33	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $602.56	Professional		$53.70	$109.65	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $120.23	Professional		$47.86	$61.66	$120.23