Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $107.15	Professional		$83.18	$97.72	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $114.82	Professional		$75.86	$93.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $87.10 / $131.83	Facility		$42.66	$87.10	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $117.49	Professional		$89.13	$102.33	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Facility		$87.10	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $117.49	Professional		$89.13	$102.33	$117.49