Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $78.23 / $100.84	Facility		$69.03	$78.23	$100.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $87.76 / $113.94	Professional		$71.61	$87.76	$113.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $67.66 / $96.34	Professional		$65.05	$67.66	$96.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $117.00 / $139.02	Professional		$96.36	$117.00	$139.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $92.00 / $162.04	Professional		$65.00	$92.00	$162.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $96.51 / $130.00	Facility		$82.17	$96.51	$130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $128.69 / $626.85	Professional		$83.80	$128.69	$626.85
United Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $83.80 / $83.80	Facility		$83.80	$83.80	$83.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $107.26 / $166.98	Professional		$83.80	$107.26	$166.98