Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $274.49 / $300.63	Professional		$255.02	$274.49	$300.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $306.75 / $306.75	Professional		$306.75	$306.75	$306.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $297.48 / $327.23	Facility		$249.34	$297.48	$327.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47