Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $190.30 / $354.83	Facility		$190.30	$190.30	$354.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.15 / $685.15 / $1,328.37	Professional		$685.15	$685.15	$1,328.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $111.42 / $111.42	Professional		$111.42	$111.42	$111.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.75 / $1,154.56 / $1,833.99	Facility		$783.75	$1,154.56	$1,833.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.01 / $218.01 / $390.51	Professional		$218.01	$218.01	$390.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $295.69 / $3,810.00	Facility		$158.58	$295.69	$3,810.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $364.58 / $1,791.04	Professional		$248.20	$364.58	$1,791.04
United Facility/Professional Professional Modifier Low / Median / High Price $186.40 / $284.22 / $457.75	Professional		$186.40	$284.22	$457.75