Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $128.52 / $10,824.00	Facility		$80.55	$128.52	$10,824.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $39.11 / $79.03	Professional		$35.56	$39.11	$79.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Professional		$34.60	$34.60	$34.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $63.20 / $110.75	Facility		$16.93	$63.20	$110.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $32.56 / $36.63	Professional		$28.49	$32.56	$36.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $69.59 / $148.66	Facility		$40.70	$69.59	$148.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $664.56	Professional		$42.84	$42.84	$664.56
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84