Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $40.01 / $40.01	Facility		$40.01	$40.01	$40.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $19.30 / $40.01	Professional		$10.51	$19.30	$40.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $33.94 / $35.90	Facility		$31.03	$33.94	$35.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $32.24 / $32.24	Professional		$32.24	$32.24	$32.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $52.50	Professional		$17.71	$24.26	$52.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $31.25 / $169.60	Facility		$10.51	$31.25	$169.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $19.38 / $46.31	Professional		$10.85	$19.38	$46.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $18.07 / $27.86	Professional		$10.85	$18.07	$27.86