Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $131.83	Professional		$91.20	$102.33	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $123.03	Professional		$79.43	$89.13	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $154.88	Professional		$97.72	$123.03	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $177.83	Professional		$97.72	$134.90	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $162.18	Facility		$87.10	$100.00	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $630.96	Professional		$87.10	$123.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82