Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $223.87	Professional		$158.49	$177.83	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $177.83	Professional		$151.36	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $275.42	Facility		$109.65	$181.97	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $186.21	Professional		$147.91	$177.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $169.82	Facility		$158.49	$158.49	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $199.53	Professional		$147.91	$177.83	$199.53