Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $69.59 / $102.58	Facility		$69.59	$69.59	$102.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $69.59 / $84.86	Professional		$67.02	$69.59	$84.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $110.39 / $125.11	Professional		$110.39	$110.39	$125.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $128.88 / $128.88	Professional		$128.88	$128.88	$128.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $102.60	Professional		$74.90	$102.60	$102.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $91.26 / $744.59	Facility		$45.51	$91.26	$744.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $74.33 / $153.37	Professional		$46.99	$74.33	$153.37
United Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $70.37 / $101.13	Professional		$55.19	$70.37	$101.13