Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $165.96	Facility		$69.18	$89.13	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $125.89	Professional		$50.12	$77.62	$125.89
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	CQ	$144.54	$144.54	$144.54
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	CQ	$120.23	$120.23	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $141.25	Facility		$56.23	$93.33	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $131.83	Professional		$64.57	$95.50	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $64.57 / $104.71	Facility		$60.26	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $128.82	Professional		$52.48	$81.28	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $218.78	Facility		$58.88	$83.18	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $138.04	Professional		$66.07	$79.43	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $107.15	Facility		$67.61	$77.62	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $102.33	Professional		$66.07	$74.13	$102.33