Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $91.20	Facility		$25.12	$30.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $41.69	Professional		$19.95	$28.84	$41.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.20 / $72.44 / $79.43	Professional	CQ	$30.20	$72.44	$79.43
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 $47.86 / $81.28 / $128.82	Facility		$47.86	$81.28	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $48.98	Professional		$22.91	$35.48	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $64.57 / $89.13	Facility		$60.26	$64.57	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $57.54	Professional		$19.95	$29.51	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $83.18	Facility		$22.39	$34.67	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $234.42	Professional		$29.51	$35.48	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $40.74	Facility		$29.51	$29.51	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $39.81	Professional		$29.51	$33.88	$39.81