Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $128.82	Professional		$117.49	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $87.10 / $112.20	Professional		$16.60	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $269.15	Facility		$128.82	$131.83	$269.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10