Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $251.19	Facility		$162.18	$162.18	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $162.18	Professional		$112.20	$147.91	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $117.49 / $147.91	Professional		$15.85	$117.49	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $165.96	Professional		$114.82	$165.96	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $630.96	Facility		$141.25	$165.96	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $177.83	Professional		$141.25	$173.78	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $186.21	Professional		$141.25	$173.78	$186.21