Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $52.48	Professional		$18.62	$19.95	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $117.49	Professional		$27.54	$33.88	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $89.13	Facility		$19.95	$34.67	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.95 / $77.62	Professional		$8.91	$19.95	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29