Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $687.60 / $687.60	Facility		$687.60	$687.60	$687.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $753.66 / $995.06	Professional		$412.09	$753.66	$995.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $55.50 / $95.58	Professional		$55.50	$55.50	$95.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Professional		$114.60	$114.60	$114.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $687.60 / $2,126.06	Facility		$95.58	$687.60	$2,126.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $74.89 / $1,800.97	Professional		$40.57	$74.89	$1,800.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $62.73 / $199.28	Professional		$40.57	$62.73	$199.28