Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.97 / $49.97 / $49.97	Facility		$49.97	$49.97	$49.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $35.11 / $54.49	Professional		$15.37	$35.11	$54.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $33.81 / $37.21	Professional		$30.43	$33.81	$37.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $29.16 / $62.64	Professional		$20.41	$29.16	$62.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $43.00 / $60.00	Professional		$26.00	$43.00	$60.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $35.90 / $57.76	Facility		$17.54	$35.90	$57.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $59.48 / $251.37	Professional		$39.31	$59.48	$251.37
United Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $51.61 / $82.15	Professional		$37.34	$51.61	$82.15