Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $128.82 / $181.97	Facility		$47.86	$128.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $128.82	Professional		$19.95	$30.20	$128.82
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.20 / $75.86 / $204.17	Professional	CQ	$30.20	$75.86	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $114.82	Facility		$24.55	$48.98	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $48.98	Professional		$18.62	$24.55	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $64.57	Facility		$54.95	$57.54	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $67.61	Professional		$26.92	$37.15	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $81.28	Facility		$26.92	$35.48	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $234.42	Professional		$31.62	$39.81	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $34.67	Facility		$31.62	$31.62	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $46.77	Professional		$31.62	$38.02	$46.77