Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $2,912.00 / $6,483.00	Facility		$1,582.00	$2,912.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $156.78 / $394.04	Professional		$103.20	$156.78	$394.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.62 / $253.62 / $253.62	Professional		$253.62	$253.62	$253.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,197.38 / $3,616.69	Facility		$587.35	$2,197.38	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $203.51 / $298.41	Professional		$175.06	$203.51	$298.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.44 / $300.44 / $300.44	Facility		$300.44	$300.44	$300.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $206.63 / $378.06	Professional		$132.03	$206.63	$378.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.86 / $242.59 / $902.00	Facility		$147.86	$242.59	$902.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $264.58 / $1,722.00	Professional		$165.92	$264.58	$1,722.00
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 $158.76 / $221.23 / $438.67	Professional		$158.76	$221.23	$438.67