Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $933.25	Facility		$263.03	$263.03	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $288.40	Professional		$199.53	$239.88	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $194.98 / $239.88	Professional		$57.54	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $1,000.00	Facility		$199.53	$269.15	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Professional		$223.87	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $302.00	Professional		$223.87	$281.84	$302.00