Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $73.23 / $73.23	Facility		$73.23	$73.23	$73.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $35.36 / $73.23	Professional		$18.16	$35.36	$73.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Professional		$86.23	$86.23	$86.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $83.28 / $88.59	Facility		$79.90	$83.28	$88.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $79.12 / $79.12	Professional		$79.12	$79.12	$79.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $96.09	Professional		$33.88	$39.86	$96.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $57.21 / $311.58	Facility		$18.16	$57.21	$311.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $33.10 / $84.75	Professional		$18.76	$33.10	$84.75
United Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $31.99 / $44.62	Professional		$18.76	$31.99	$44.62