Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $41.75 / $99.75	Facility		$4.95	$41.75	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $42.09 / $64.23	Professional		$31.74	$42.09	$64.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $88.93 / $107.00	Professional		$59.58	$88.93	$107.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $84.61 / $84.61	Professional		$84.61	$84.61	$84.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Facility		$67.14	$67.14	$67.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $98.44	Professional		$49.01	$67.14	$98.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $64.23 / $340.47	Facility		$31.74	$64.23	$340.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $51.22 / $118.14	Professional		$32.78	$51.22	$118.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $49.51 / $68.59	Professional		$32.78	$49.51	$68.59