Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $35.04 / $96.09	Facility		$35.04	$35.04	$96.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $180.00	Professional		$69.12	$96.10	$180.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $57.90 / $527.40	Professional		$48.78	$57.90	$527.40
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 / $103.79 / $198.93	Facility		$96.10	$103.79	$198.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $39.68 / $39.68	Professional		$39.68	$39.68	$39.68