Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.77 / $93.96 / $753.22	Facility		$53.77	$93.96	$753.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $55.10 / $126.40	Professional		$53.77	$55.10	$126.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.46 / $53.60	Professional		$8.69	$9.46	$53.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $104.93 / $171.62	Facility		$28.53	$104.93	$171.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $50.45 / $244.36	Professional		$37.84	$50.45	$244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $75.67 / $248.93	Facility		$54.43	$75.67	$248.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $133.34	Professional		$56.50	$56.50	$133.34
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50