Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $315.00 / $360.00	Facility		$40.00	$315.00	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $41.00 / $270.00	Professional		$40.00	$41.00	$270.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $118.20 / $118.20 / $118.20	Professional	AA	$118.20	$118.20	$118.20
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $112.29 / $118.20 / $137.90	Professional	QZ	$112.29	$118.20	$137.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $310.92 / $363.84	Professional		$245.70	$310.92	$363.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $290.00 / $370.00	Professional		$200.00	$290.00	$370.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $1,600.00 / $1,802.00	Facility		$1,360.00	$1,600.00	$1,802.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $52.00 / $1,351.68	Professional		$47.00	$52.00	$1,351.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $50.00 / $65.00	Professional		$47.00	$50.00	$65.00