Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.96 / $967.96 / $967.96	Professional		$967.96	$967.96	$967.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $372.97 / $372.97	Facility		$100.00	$372.97	$372.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $372.97 / $372.97	Professional		$372.97	$372.97	$372.97
United Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $84.10	Professional		$68.73	$68.73	$84.10