Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $32.59 / $41.46	Facility		$27.92	$32.59	$41.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $51.10 / $136.00	Professional		$30.71	$51.10	$136.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.76 / $131.60 / $189.67	Professional	25	$41.76	$131.60	$189.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $51.19 / $80.51	Professional		$37.22	$51.19	$80.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $151.91 / $240.66	Facility		$40.00	$151.91	$240.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $40.78 / $45.88	Professional		$30.59	$40.78	$45.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $48.55 / $90.39	Professional		$35.13	$48.55	$90.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $51.19 / $86.80	Facility		$37.22	$51.19	$86.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $10.70 / $10.70 / $22.10	Facility	AS	$10.70	$10.70	$22.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $42.30 / $350.74	Professional		$34.40	$42.30	$350.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $40.03 / $80.62	Professional		$34.40	$40.03	$80.62