Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $81.28	Professional		$41.69	$57.54	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Professional		$72.44	$72.44	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $104.71	Professional		$89.13	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $128.82	Professional		$57.54	$91.20	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $93.33	Facility		$37.15	$63.10	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $436.52 / $524.81	Professional		$75.86	$436.52	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $114.82	Professional		$63.10	$93.33	$114.82