Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $53.70	Professional		$22.91	$33.11	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $54.95	Professional		$36.31	$40.74	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50.12 / $53.70	Facility		$47.86	$50.12	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $63.10	Professional		$26.30	$26.30	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $128.82	Facility		$15.85	$36.31	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $269.15	Professional		$16.22	$28.18	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $43.65	Facility		$36.31	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $40.74	Professional		$17.78	$26.92	$40.74