Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $194.98	Professional		$54.95	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $380.19	Facility		$79.43	$257.04	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Professional		$58.88	$58.88	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $154.88	Professional		$63.10	$89.13	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $165.96	Facility		$64.57	$79.43	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $524.81	Professional		$66.07	$87.10	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $138.04	Professional		$66.07	$77.62	$138.04