Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.99 / $167.99 / $167.99	Facility		$167.99	$167.99	$167.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $64.11 / $93.88	Professional		$52.04	$64.11	$93.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $53.24 / $108.74	Professional		$49.43	$53.24	$108.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $78.92 / $92.85	Professional		$65.00	$78.92	$92.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.95 / $128.38	Professional		$45.00	$66.95	$128.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $65.90 / $133.18	Facility		$55.84	$65.90	$133.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $89.23 / $417.96	Professional		$53.46	$89.23	$417.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $71.81 / $109.63	Professional		$51.25	$71.81	$109.63