Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $166.43	Facility		$28.18	$28.18	$166.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $25.20	Professional		$17.97	$19.57	$25.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $12.61 / $12.61	Professional		$12.61	$12.61	$12.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $21.68 / $26.56	Facility		$21.68	$21.68	$26.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $20.87 / $26.83	Professional		$16.39	$20.87	$26.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.50 / $40.44	Professional		$19.00	$25.50	$40.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.27 / $33.25	Facility		$11.63	$23.27	$33.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $41.60 / $185.58	Professional		$31.20	$41.60	$185.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $37.44 / $68.81	Professional		$30.04	$37.44	$68.81