Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $107.15	Facility		$61.66	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $123.03	Professional		$75.86	$100.00	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $77.62 / $93.33	Professional		$25.70	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $107.15	Professional		$56.23	$107.15	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $416.87	Facility		$93.33	$107.15	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $114.82	Professional		$91.20	$112.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $117.49	Professional		$91.20	$114.82	$117.49