Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $380.19	Professional		$97.72	$134.90	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $218.78	Professional		$104.71	$144.54	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $162.18	Professional		$120.23	$120.23	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $223.87	Professional		$107.15	$147.91	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $251.19	Facility		$97.72	$120.23	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $1,071.52	Professional		$107.15	$144.54	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $177.83	Professional		$102.33	$125.89	$177.83