Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $643.63 / $643.63	Professional		$643.63	$643.63	$643.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,405.80 / $21,144.87 / $33,649.15	Facility		$13,405.80	$21,144.87	$33,649.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.83 / $9,723.00 / $13,351.07	Professional		$669.83	$9,723.00	$13,351.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.16 / $8,200.00 / $18,958.34	Facility		$740.16	$8,200.00	$18,958.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,844.59 / $13,688.33 / $62,975.68	Professional		$9,844.59	$13,688.33	$62,975.68
United Facility/Professional Facility Modifier Low / Median / High Price $14,358.19 / $14,358.19 / $14,358.19	Facility		$14,358.19	$14,358.19	$14,358.19
United Facility/Professional Professional Modifier Low / Median / High Price $9,265.50 / $13,278.10 / $18,856.43	Professional		$9,265.50	$13,278.10	$18,856.43