Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $61.20 / $289.25	Facility		$4.62	$61.20	$289.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $61.20 / $221.22	Professional		$44.16	$61.20	$221.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $97.07 / $124.66	Professional		$92.22	$97.07	$124.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $113.34 / $113.34	Professional		$113.34	$113.34	$113.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $91.83	Professional		$63.25	$86.64	$91.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $80.23 / $670.88	Facility		$40.15	$80.23	$670.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $62.19 / $128.01	Professional		$41.46	$62.19	$128.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $61.69 / $89.22	Professional		$41.46	$61.69	$89.22