Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $62.57 / $62.57	Facility		$62.57	$62.57	$62.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $43.03 / $62.57	Professional		$40.43	$43.03	$62.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $51.44 / $51.44	Professional		$51.44	$51.44	$51.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $132.50 / $140.53	Facility		$121.44	$132.50	$140.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $131.51 / $131.51	Professional		$131.51	$131.51	$131.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $142.50	Professional		$34.40	$47.13	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $62.57 / $414.18	Facility		$38.85	$62.57	$414.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $52.64 / $129.76	Professional		$33.78	$52.64	$129.76
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $50.67 / $75.67	Professional		$33.78	$50.67	$75.67