Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $69.18 / $208.50	Facility		$27.65	$69.18	$208.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $54.47 / $104.21	Professional		$21.77	$54.47	$104.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Professional		$92.71	$92.71	$92.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $90.91 / $150.58	Facility		$23.02	$90.91	$150.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $42.52 / $74.40	Professional		$19.66	$42.52	$74.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $59.22 / $113.90	Professional		$23.98	$59.22	$113.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $48.27 / $97.03	Facility		$21.77	$48.27	$97.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $111.18 / $476.90	Professional		$69.30	$111.18	$476.90
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $91.56 / $156.97	Professional		$67.20	$91.56	$156.97