Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $1,348.96	Facility		$61.66	$61.66	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $58.88	Professional		$30.20	$40.74	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $74.13	Facility		$69.18	$72.44	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $95.50	Professional		$26.92	$26.92	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $186.21	Facility		$21.88	$57.54	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $389.05	Professional		$22.39	$38.90	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $63.10	Facility		$28.84	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $52.48	Professional		$25.70	$37.15	$52.48