Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $300.00 / $325.00	Facility		$81.00	$300.00	$325.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $34.59 / $187.73	Facility		$29.01	$34.59	$187.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $23.35 / $63.31	Facility		$16.55	$23.35	$63.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $170.00 / $265.00	Facility		$58.00	$170.00	$265.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $100.00 / $167.19	Facility		$2.83	$100.00	$167.19
United Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Facility		$104.00	$104.00	$104.00