Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $257.56	Facility		$136.63	$136.63	$257.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $113.87 / $257.56	Professional		$92.34	$113.87	$257.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $118.02 / $118.02	Professional		$118.02	$118.02	$118.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $132.60 / $132.60	Professional		$92.82	$132.60	$132.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $87.48 / $195.80	Facility		$62.26	$87.48	$195.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $134.94 / $176.38	Professional		$76.23	$134.94	$176.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $113.87 / $169.88	Facility		$63.71	$113.87	$169.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $137.72 / $758.33	Professional		$62.11	$137.72	$758.33
United Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $66.61 / $110.57	Facility		$66.61	$66.61	$110.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $126.80 / $184.14	Professional		$64.93	$126.80	$184.14