Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $151.36	Facility		$100.00	$112.20	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $158.49	Professional		$89.13	$117.49	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $138.04	Professional		$100.00	$125.89	$138.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $114.82 / $123.03 / $131.83	Professional	25	$114.82	$123.03	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $169.82	Professional		$123.03	$125.89	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $346.74	Professional		$104.71	$138.04	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $288.40	Facility		$134.90	$165.96	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $165.96	Professional		$104.71	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $165.96	Professional		$104.71	$120.23	$165.96