Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,671.00 / $4,888.00	Facility		$862.00	$1,671.00	$4,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.29 / $462.69 / $1,103.34	Professional		$373.29	$462.69	$1,103.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $216.72 / $1,668.61	Professional		$216.72	$216.72	$1,668.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,640.88 / $2,700.74	Facility		$438.60	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.44 / $606.37 / $720.06	Professional		$505.44	$606.37	$720.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.35 / $552.54 / $913.32	Professional		$408.35	$552.54	$913.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $559.08 / $1,497.00	Facility		$442.10	$559.08	$1,497.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,455.99 / $1,455.99 / $1,455.99	Facility	54	$1,455.99	$1,455.99	$1,455.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.48 / $563.74 / $3,741.04	Professional		$414.48	$563.74	$3,741.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $497.88 / $963.64	Professional		$408.00	$497.88	$963.64