Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $123.50	Professional		$69.12	$96.10	$123.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $49.50 / $67.31	Professional		$7.64	$49.50	$67.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $141.55 / $141.55	Professional		$120.32	$141.55	$141.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $128.77	Facility		$96.10	$96.10	$128.77