Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $24.55	Facility		$11.22	$11.22	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $30.20	Professional		$16.22	$21.88	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $22.91	Professional		$18.62	$21.88	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $22.91 / $83.18	Facility		$5.89	$22.91	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $102.33	Professional		$21.38	$42.66	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $31.62	Facility		$14.45	$22.39	$31.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $23.44	Professional		$22.39	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $36.31	Facility		$21.88	$21.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $23.99	Professional		$22.91	$23.99	$23.99