Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.67 / $171.67 / $171.67	Facility		$171.67	$171.67	$171.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $62.26 / $80.00	Professional		$55.20	$62.26	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $62.07 / $62.07	Professional		$62.07	$62.07	$62.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $125.45 / $198.73	Facility		$33.03	$125.45	$198.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $58.42 / $282.95	Professional		$43.81	$58.42	$282.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $76.86 / $288.23	Facility		$62.26	$76.86	$288.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $138.99	Professional		$64.05	$64.05	$138.99
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05