Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $330.00 / $470.82	Facility		$43.50	$330.00	$470.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $1,032.00	Professional		$43.50	$43.50	$1,032.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Professional	AA	$1,260.00	$1,260.00	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $435.65 / $435.65 / $435.65	Professional	QZ	$435.65	$435.65	$435.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $455.00 / $471.66 / $471.66	Professional	QZ	$455.00	$471.66	$471.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.00 / $447.00 / $459.00	Professional		$447.00	$447.00	$459.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $404.45 / $480.00	Professional		$295.00	$404.45	$480.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.57 / $3,413.45 / $3,480.00	Facility		$415.57	$3,413.45	$3,480.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $66.00 / $120.00	Professional		$50.00	$66.00	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $64.00 / $76.53	Professional		$54.00	$64.00	$76.53