Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $298.63 / $298.63	Facility		$260.70	$298.63	$298.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $30.00 / $30.00	Professional		$18.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Professional		$28.53	$28.53	$28.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $23.74 / $58.71	Facility		$10.05	$23.74	$58.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $33.49 / $79.12	Professional		$27.21	$33.49	$79.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $38.04 / $69.06	Facility		$22.82	$38.04	$69.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $39.88	Professional		$22.16	$22.16	$39.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $36.93	Professional		$22.16	$22.16	$36.93