Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $100.00	Professional		$67.61	$81.28	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Professional		$95.50	$95.50	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Facility		$100.00	$100.00	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $93.33	Professional		$46.77	$66.07	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $95.50	Facility		$83.18	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $123.03	Professional		$67.61	$95.50	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $114.82	Facility		$60.26	$75.86	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $562.34	Professional		$72.44	$93.33	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $104.71	Professional		$60.26	$77.62	$104.71