Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $309.03	Professional		$107.15	$125.89	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $223.87	Professional		$131.83	$131.83	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $181.97	Professional		$131.83	$131.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $251.19	Professional		$117.49	$165.96	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $275.42	Facility		$107.15	$131.83	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $1,348.96	Professional		$120.23	$158.49	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $194.98	Professional		$112.20	$141.25	$194.98