Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.43 / $62.43 / $92.02	Facility		$62.43	$62.43	$92.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $62.42 / $76.04	Professional		$60.12	$62.42	$76.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $105.63 / $105.63	Professional		$105.63	$105.63	$105.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $115.62	Professional		$115.62	$115.62	$115.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $81.86 / $659.83	Facility		$40.78	$81.86	$659.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.16 / $130.59	Professional		$42.11	$63.16	$130.59
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.12 / $90.62	Professional		$42.11	$63.12	$90.62