Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $63.10	Professional		$23.44	$38.90	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $154.88	Professional		$51.29	$95.50	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $125.89 / $158.49	Facility		$19.95	$125.89	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50