Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $239.88	Professional		$39.81	$72.44	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $169.82	Professional		$66.07	$128.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $104.71 / $208.93	Facility		$43.65	$104.71	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $316.23	Professional		$125.89	$165.96	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $87.10	Professional		$63.10	$63.10	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $112.20 / $676.08	Facility		$39.81	$112.20	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $870.96	Professional		$51.29	$61.66	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $131.83	Facility		$46.77	$75.86	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $93.33	Professional		$52.48	$61.66	$93.33