Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $162.54 / $177.78	Professional		$107.49	$162.54	$177.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $191.44 / $215.37	Professional		$145.18	$191.44	$215.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $856.57 / $1,343.48	Facility		$549.19	$856.57	$1,343.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $167.65 / $230.21	Professional		$108.86	$167.65	$230.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $177.23 / $243.48	Professional		$117.06	$177.23	$243.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $182.21 / $1,470.67	Facility		$108.88	$182.21	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $180.81 / $1,335.04	Professional		$150.07	$180.81	$1,335.04
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $774.00 / $1,615.00	Facility		$155.00	$774.00	$1,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $175.39 / $262.07	Professional		$144.65	$175.39	$262.07