Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $229.09	Professional		$181.97	$208.93	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $199.53	Professional		$89.13	$186.21	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $851.14	Facility		$158.49	$234.42	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $251.19	Professional		$194.98	$245.47	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $269.15	Professional		$213.80	$257.04	$269.15