Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $79.25	Professional		$69.34	$69.34	$79.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $161.61	Professional		$137.37	$137.37	$161.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $141.51 / $141.51	Professional		$96.29	$141.51	$141.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $89.19	Professional		$65.11	$89.19	$89.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $97.06 / $645.28	Facility		$39.04	$97.06	$645.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $79.90 / $157.82	Professional		$40.31	$79.90	$157.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $77.03 / $91.08	Professional		$40.31	$77.03	$91.08