Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $190.55	Facility		$36.31	$72.44	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $104.71	Professional		$19.95	$27.54	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $72.44 / $138.04	Facility		$22.91	$72.44	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $95.50	Professional		$19.95	$39.81	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $128.82	Facility		$28.18	$43.65	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $54.95	Facility		$20.42	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Professional		$20.42	$20.42	$33.11