Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.81 / $2,260.00 / $6,305.00	Facility		$402.81	$2,260.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $140.32 / $504.00	Professional		$70.79	$140.32	$504.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $209.26 / $209.26	Professional		$209.26	$209.26	$209.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.20 / $410.22 / $675.19	Facility		$103.20	$410.22	$675.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $70.87 / $106.30	Professional		$51.42	$70.87	$106.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $119.87 / $195.35	Professional		$70.97	$119.87	$195.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $133.06 / $1,126.00	Facility		$76.66	$133.06	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $157.05 / $955.92	Professional		$105.82	$157.05	$955.92
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $125.64 / $249.38	Professional		$100.63	$125.64	$249.38