Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.71 / $3,550.42 / $12,600.00	Facility		$502.71	$3,550.42	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $395.07 / $502.71	Professional		$313.02	$395.07	$502.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $244.34 / $414.51	Professional		$207.26	$244.34	$414.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.03 / $7,431.64 / $11,744.31	Facility		$4,653.03	$7,431.64	$11,744.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $467.25 / $641.60	Professional		$331.37	$467.25	$641.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.78 / $2,545.78 / $2,545.78	Facility		$2,545.78	$2,545.78	$2,545.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.94 / $485.54 / $681.40	Professional		$355.94	$485.54	$681.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.57 / $544.66 / $4,596.00	Facility		$366.57	$544.66	$4,596.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.26 / $538.47 / $3,632.56	Professional		$410.26	$538.47	$3,632.56
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $494.96 / $723.09	Professional		$408.88	$494.96	$723.09